You are the R.N. caring for a

You are the R.N. caring for a 72-year-old woman with severe emphysema. Today she was walking at a mall when she suddenly grabbed her right side and gasped, “Oh, something just popped.” She whispered to her walking companion, “I can’t get any air.” Her companion yelled for someone to call 911 and helped her to the nearest bench. By the time the rescue unit arrived, she was stuporous and in severe respiratory distress. She was intubated, started on intravenous lactated Ringer’s at KVO (keep vein open), and transported to the nearest emergency department (ED). On arrival at the ED, you auscultate muffled heart tones, no breath sounds on the right, and faint sounds on the left. She is stuporous, tachycardiac, and cyanotic. The paramedics inform you that it was difficult to ventilate her. A portable chest x-ray (CXR) examination shows an 80% pneumothorax on the right. Arterial Blood Gases (ABGs) on 100% O2: pH 7.25 PaCO2 92 mm Hg HCO3 27 mEq/l PaO2 32 mm HG SpO2 53% Explain the most important areas you need to evaluate during your physical assessment? (USLO 1,6) Interpret the ABGs and explain the reason for the ABG results? (USLO 1, 6) Identify probable concerns based upon your assessment findings? (USLO 1, 4) What are priority nursing interventions that you would provide for this patient? (USLO 1, 6) It is now the end of your shift and her condition has stabilized. Using the SBAR framework, describe the bedside change-of-shift report you will give the oncoming nurse. (USLO 5)

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."