Case Study 2 (Dyspnea & SOB)

Question 1

Which findings are associated with COPD

1. Enlarged neck muscles
2. Forward bent posture
3. RR 15 - 25
4. Inspitory & expiratory wheezes
5. Blue-tinged dusky appearance
6. Symmetrical lung expansion

Answer 1

1. Enlarged neck muscles
2. Forward bent posture
3. Inspitory & expiratory wheezes
4. Blue-tinged dusky appearance

Not
3. RR 15 - 25 Higher like (30 - 40)
6. Symmetrical lung expansion
Asymmetrical lung expansion

Question 2

ABG for Oxygen

Normal
Mild Hypoxemia
Moderate Hypoxemia
Severe Hypoxemia

Answer 2

Normal 75 - 100
Mild Hypoxemia 75 - 60
Moderate Hypoxemia 60 - 40
Severe Hypoxemia <40

Question 3

Which intervention would RN assign experienced LPN

1. Drawing sample for ABG
2. Adminster hand-held Albuterol Nebulizer
3. Measuring vital signs every 2 hours
4. Increasing Ox delivery to 2L min via nasal canula

Answer 3

4. Increasing Ox delivery to 2L min via nasal canula

UAP measures vitals
LPN don’t blood draw unless specifically trained.
Nebulizer is done by Resp Therapist

Question 4

Potassium dilution should be no greater than ___ mEq/hr of K to ____ mL of solution

This rate is never to exceed ____ mEq/hr

Never Give via IV push

Answer 4

Potassium dilution should be no greater than 1 mEq/hr of K to 10 mL of solution

This rate is never to exceed 20 mEq/hr

Norm rate 5 - 10 mEq/hr