Concept: Respiratory You are working on an
Concept: Respiratory You are working on an inpatient medical-surgical unit. One of your patients for the day is a 68-year-old male patient named Frank. He was admitted last night for chief complaint of shortness of breath and productive cough. The patient’s relevant past medical history (PMH) includes COPD, PAD, and HTN. He is a current smoker has a significant history of smoking 1 pack of cigarettes per day for the past 40 years. His wife was recently treated for pneumonia. His vital signs are: HR 90, RR 24, Temperature 101F (oral), SpO2: 90% on room air at rest, BP 140/80, pain 0/10 Per night shift report, the patient quickly becomes short of breath and his SpO2 saturations drop when ambulating to the bathroom. This morning, Frank asks you to grab his packet of Kleenex out of his shirt pocket in the closet. When you open the closet, you are hit with an overwhelming smell of cigarette smoke. Answers the below questions using scholarly sources and include citations. 1. Please list a minimum of 5 questions you would like to ask this patient to further advance your knowledge of either the acute problem or past medical history. 2. Describe how you would perform the respiratory assessment. 3. Given the history of smoking and pyrexia, you are concerned about pneumonia. Describe 3 subjective and 3 objective findings that would be associated with pneumonia. 4. What are 3 assessment questions you would want to ask Frank regarding his PAD? 5. What are two possible assessment findings that you would notice about Frank’s lower extremities due to his history of PAD? If you are unable to palpate pedal pulses, what could you use to try to assess his pulses? 6. What lifestyle change could improve Frank’s COPD, PAD, and HTN? How would you initiate a conversation with him about this lifestyle change?
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