Because you noticed that Mr. Edwards was experiencing some shortness of breath while lying in his bed while it was elevated less than 15 degrees, your documentation would include that he was experiencing ______________. (use one word) 1 5. Write the most appropriate oxygenation-related nursing diagnosis related for Mr. Edwards based only on the information you have at this time. (Carefully consider what you know at this point) 1 6. List one nursing intervention/activity you would initiate to address this diagnosis and one related, desired outcome. 1 7. In follow-up to what you heard and saw when you came into the room and the productive cough you heard about in report, describe 2 specific inquiries you would make at this time. 1 8. Write one 3-part nursing diagnosis related to Mr. Edwards oxygenation problem. Make sure that you base this diagnosis only on the information you have been provided from the case description up to now. Also, you may not record the same diagnosis recorded in # 5. 3 9. List three nursing interventions/activities you would initiate to address this diagnosis and the related, desired outcome(s). 1 10. What does the new finding of abnormal lung sounds in left base indicate? (Do not over-think this; limit your response to one sentence) 1 11. Does this finding affect Mr. Edwards oxygenation, tissue perfusion, or both oxygenation and tissue perfusion? State which and explain how/why. 1 12. Having just read the chapter about oxygenation, you know that the test Dr. Smith ordered to identify Mr. Edwards blood oxygen levels was: _______________________ (name of test). 1 13. Why did Dr. Smith want to know whether Mr. Edwards had a history of emphysema? (limit to 1 2 sentences) 3 14. List 3 nursing interventions that would be most helpful in removing Mr. Edwards pulmonary secretions and briefly describe the rationale for each. 3 15. List 3 physical assessments and related findings that indicate an imbalance of fluids. 1.5 16. and briefly explain 1 17. State one nursing diagnosis associated with these laboratory findings discussed in # 16. 2 18. List four independent nursing interventions/actions that are most appropriate for the nursing diagnosis in # 17. 1 19. Review the arterial blood gas results. Which values are low, which are high, and what does this picture indicate overall?
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