Introduction Podcast Review – Podcast 16 What Students Will Do:

Case Study Question 1 of 6 The nurse cares for a 23-year-old male in the Emergency Department who is experiencing acute onset of shortness of breath. 1100. Client reports shortness of breath and chest tightness that has progressively worsened for the past 2 to 3 days. He has a history of seasonal allergies, is a non-smoker, and lives at home with his mother who is a current smoker. Denies fever or vomiting. Describes feeling fatigued and has a dry cough at night. 1115. Audible and expiratory wheezing auscultated throughout lung fields bilaterally. Increased respiratory rate noted, capillary refill < 3 seconds, skin warm to touch. Chest wall is symmetrical with no deformity. Client sits upright and leans forward resting his hands on his knees in tripod position and speaks only a few words between breaths. Tenderness on palpation of chest wall. Trachea is midline with no deviation. Labs drawn. CXR ordered. Vilar Sians Time 1115 Temp 97.8 F(36.C) P 98 RR 26 B/P 114/78 Pulse oximeter 95% The nurse assesses the dient on admission. • Which findings require immediate follow-up. Select all that apply. • Shortness of breath u Chest tightness • Respiratory rate • Dry cough • Audible and expiratory wheezing • Tripod position • Speaks only a few words between breaths Blood pressure Tenderness of chest wall Case Study Question 2 of 6 The nurse cares for a 23 year-old male in the Emergency

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