Case
Nur 211 Respiratory System Case Study with answers
- Course
- NUR211
- Institution
- Georgian Court College
Respiratory system case study with answers. *Essential!!
[Show more]
Content preview
Because these are critical-thinking questions, they usually do not have a single right answer.Discuss the questions with your peers—discussion can stimulate critical thinking.
PATIENT SITUATION:
Haley, a 15-year-old female high school student, was admitted to the hospital with shortness of
breath and right-sided chest pain when breathing. She states that she has had “the flu” for 3 days.
She has a history of asthma since age 6, and smokes a half pack of cigarettes a day. Both her
parents are heavy smokers.
An IV was initiated, and she is receiving 800 mg of vancomycin (an antibiotic) intravenously
every 12 hours. She is not on oxygen therapy, but receives 10 incentive spirometer treatments per
hour while awake.
Her heart rate is 80 beats/min, respiratory rate 24 breaths/min, and blood pressure 110/70 mm
Hg. Her skin is pale but warm, and capillary refill time is 2 seconds. She has no clubbing of the
fingers. She is urinating approximately 400 mL of clear yellow urine every 8 hours and
maintaining a normal bowel elimination pattern.
Laboratory results are:
Red blood cell count (RBCs): 3.56 × 106 (3.56 million/mm3)
White blood cell count (WBCs): 11,800/mm3
Hemoglobin: 11.2 g/dL Hematocrit: 32.7%
Haley says, “I feel really tired, and too weak to even pick up a glass of water.” Her cough
produces white, thick sputum. Sputum culture on admission confirms a diagnosis of
streptococcal pneumonia.
1. Theoretical Knowledge:
A. According to the Centers for Disease Control and Prevention, should Haley have received
a pneumonia immunization? Why or why not?
According to the CDC Haley should’ve gotten a pneumonia immunization
because she said she had the flu for 3 days and the flu is a sign of
pneumonia and she has strep on the sputum culture which would make
people think its not early strep and that also can lead to pneumonia
(Causes of Pneumonia. (2020, March 9). Retrieved March 15, 2020, from
https://www.cdc.gov/pneumonia/causes.html)
B. What is clubbing of the fingers? You may wish to refer to Chapter 21 [in your textbook]
for review, or to a medical–surgical nursing text.
Clubbing is a change in nail shape where the nail plate angle is 180
degrees or more and can be associated with long term hypoxic states
(Treas 510)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.39. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52928 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now