Highlight the Lab results consistent with a bacterial infection. - ✔️✔️WBC- 15,500
Neutrophils- 9000
Which potential complication is most important for the nurse to monitor in this client?
SATA - ✔️✔️Impaired gas exchange
Sepsis
Empyema
Airway Obstruction
Multidrug-resistant pneumonia
Click to indicate which interventions the nurse would include in the plan of care to
support the expected outcomes of adequate gas exchange or clear airway. -
✔️✔️Adding humidification-
Clear Airway
Administering antipyretics-
Clear Airway
Administering prescribed antibiotics-Adequate Gas Exchange
Clear Airway
Encouraging incentive spirometry-
Adequate Gas Exchange
Encouraging oral fluids up to 3 L/day-
Clear Airway
Positioning the client with the head of the bed elevated-
Adequate Gas Exchange
Providing supplemental oxygen-
Adequate Gas Exchange
An 82-year-old woman drove herself to the emergency department (ED) with reports of
chest pain, shortness of breath, headache, and extreme fatigue. Client states she has
been coughing up a lot of "stuff that looks like egg whites with red string in it." Her chest
and abdomen are sore from all the coughing. She has been unable to eat or sleep well
for the past week. Client states that her shortness of breath has caused such bad
anxiety that she can't even concentrate to read the paper. Client is unable to lay flat but
is more comfortable sitting upright in the "tripod position." Client states she has been