Question
The nurse is caring for a 74-year old gentleman who was admitted 2 days ago with...
The nurse is caring for a 74-year old gentleman who was admitted 2 days ago with chest pain. His past medical history includes coronary artery disease, CHF, hypercholesterolemia, obesity, GERD, and COPD. His 0800 vitals are: BP 142/88, HR 86, Sp02 92% on 2L humidified 02 via nasal cannula, RR 22, temp 98.4.
- Describe the abnormal assessment findings you might expect to see in this client’s head-to-toe assessment.
Answers
Abnormal assessment findings:
- Vital Signs:
BP 142/88, slightly elevated blood pressure. This is not an emergency condition, but it should be noted that the patient came with a chief complaint of chest pain and he has a history of CHF.
SpO2 92% on 2L humidified oxygen via nasal cannula. This indicates COPD since this comes in the COPD SpO2 range of (normal to COPD) 88% to 92%, but this is the value on 2L humidified oxygen via nasal cannula.
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