WorksheetsOxygenation & Perfusion Mr. King Case Study
Total questions: 6
Worksheet time: 6mins
Read the Case Study for Mr. King found in your PowerPoint from class. What lifestyle risk factors does Mr. King have that are associated with COPD? (select all that apply)
Shortness of Breath
History of smoking
History of alcohol use/abuse
general malaise
Gardener
Mr. King is extremely anxious. Based on the information in this first encounter with Mr. King, what condition or symptom would the nurse suspect is the primary problem related to being extremely anxious?
Hypoxia
Withdraw from alcohol
Watching too much TV
Not being able to garden
Coughing
You suspect Mr. King is experiencing hypoxia, what should you assess first?
Respiration Rate
Sputum Color
Oxygen Saturation (SpO2)
Lung Sounds
Based on your assessment for Mr. King, what intervention would the nurse do first?
Wait for the provider's orders for labs and antibiotics
Have patient cough and deep breath
Apply oxygen at 12 liters per min (L/min) via high flow nasal cannula
Apply oxygen at 2 liters per min (L/min) via nasal cannula
When auscultating Mr. King's lungs, the nurse notes expiratory wheezes, crackles, and diminished breath sounds over the right lower lobe. Based on the assessment findings, what might be the cause of the diminished breath sounds?
Pneumonia
Right sided heart failure
Chronic cough
History of smoking and alcohol abuse
Reactive airway disease or Asthma
At 1415, the nurse applied oxygen at 2 L/min via nasal cannula to Mr. King. His SpO2 increased to 84% with respiration rate of 34 bpm after 15 minutes.
At 1440, the respiratory therapist administered a bronchodilator nebulizer to Mr. King and kept his nasal cannula at 2 L/min.
30 minutes after receiving the nebulizer, Mr. King's respiration rate is 16 bpm and his SpO2 is 98%. What should the nurse do next?
Increase the oxygen flow to 3 L/min and recheck his SpO2 in 15 and 30 minutes.
Humidify the oxygen.
Do nothing, 98% SpO2 and 16 bpm respiration rate are within normal limits.
Reduce the oxygen flow to 1 L/min and recheck his SpO2 in 15 and 30 minutes.
