HESI CASE STUDY - COPD with Pneumonia Darrell Johnson Questions & 100% correct Answers- Latest Test | Graded A+ | Passed
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Course
Medical/SurgicalTraumatic Brain Injury
Institution
Medical/SurgicalTraumatic Brain Injury
Which assessment is most important for the nurse to complete next?
Ξ -:- Auscultate breath sounds
highest priority because of respiratory distress
Which assessment finding supports Mr. Johnson's diagnosis of pneumonia?
Ξ -:- Pulse rate of 110
tachycardia is consistent with an infectious proc...
E x c e l l e n c e i s k e y | 2 0 2 0 2 5 ~ P a g e |1
HESI CASE STUDY - COPD with
Pneumonia Darrell Johnson Questions &
100% correct Answers- Latest Test |
Graded A+ | Passed
Which assessment is most important for the nurse to complete next?
Ξ -:- Auscultate breath sounds
highest priority because of respiratory distress
Which assessment finding supports Mr. Johnson's diagnosis of pneumonia?
Ξ -:- Pulse rate of 110
tachycardia is consistent with an infectious process. Fever and Rapid RR are vital sign finding
indicate a problem, such as an infection.
Based on these ABG results, which acid base imabalance is Mr. Johnson experiencing?
ph 7.25 low
PCO2 58
HCO2 26 low
PO2 87
Ξ -:- Respiratory acidosis
Which nursing diagnosis has the highest priority when planning care for Mr. Johnson?
Ξ -:- Ineffective airway clearance
adventitous breath sounds present, tachypnea, changes of respirations, fever, cough, which support
this as priority diagnosis. Additional priority dx impaired gas exchange and ineffective breathing
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