A 75-year-old male with a history of chronic obstructive pul…

A 75-year-old male with a history of chronic obstructive pulmonary disease (COPD) is admitted with acute hypoxic and hypercarbic respiratory failure. He is drowsy and dyspneic on 5 L of oxygen per nasal cannula with an oxygen saturation of 82%. Arterial blood gas (ABG) results indicate uncompensated respiratory acidosis with a PaO2 of 50 mmHg.Which of the following physician orders should the nurse implement first?

Mrs. T, 82-year-old female, has just been admitted to the un…

Mrs. T, 82-year-old female, has just been admitted to the unit. She reports that she has been homebound for about a week with “the flu”. She reports that she has several days of nausea and vomiting and hasn’t been eating or drinking much since she got sick. ElyteVS_Matrix.png   The provider enters the following orders. Based on the information presented, determine whether each order would be anticipated or contraindicated.

A 45-year-old male with a history of chronic lung disease is…

A 45-year-old male with a history of chronic lung disease is admitted with acute hypoxic respiratory failure. He is restless, using accessory muscles to breathe, and his SpO2 is 88% on 6 L/min of oxygen via nasal cannula. His ABG indicates respiratory alkalosis. Which of the following interventions should the nurse implement first to improve oxygenation?

A 70-year-old male with a diagnosis of pneumonia is admitted…

A 70-year-old male with a diagnosis of pneumonia is admitted to the hospital with increased shortness of breath and a SpO2 of 85% on 4L of oxygen per nasal cannula. He is alert but mildly anxious and able to speak in full sentences. Which oxygen delivery device should the nurse choose to improve his oxygenation while ensuring adequate oxygen levels?

A client with chronic obstructive pulmonary disease (COPD) i…

A client with chronic obstructive pulmonary disease (COPD) is admitted with severe hypoxia and polycythemia. The nurse identifies which of the following substances as being responsible for making more red blood cells to increase oxygen circulation throughout the body?