Arterial blood gases: pH 7.32, SaO2 86%, PaCO2 55 mm Hg, PaO2 70 mm Hg
Chest x-ray shows hyperinflation of lungs
FEV1 65%
Question 1
What in Mr. Artuso’s history is commonly associated with pulmonary problems?
Question 2
Interpret Mr. Artuso’s arterial blood gases.
Question 3
What is a likely medical diagnosis for Mr. Artuso?
Question 4
What assessment data and diagnostic study results led you to this diagnosis?
Question 5
What complication associated with this diagnosis does Mr. Artuso also have? What clinical manifestation led you to that and what is the cause of it?
Question 6
What are the priority nursing diagnoses for Mr. Artuso at this time?
Question 7
What interventions are indicated for Mr. Artuso and what outcome is expected for each intervention?
Question 8
As part of patient teaching, is it “too late” to encourage Mr. Artuso to stop smoking? Why?
Question 9
What other teaching needs would you review with Mr. Artuso while he is hospitalized?