Case
Nur 211 Respiratory System Case Study with answers
- Course
- NUR211
- Institution
- Georgian Court College
Respiratory system case study with answers. *Essential!!
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Because these are critical-thinking questions, they usually do not have a single right answer.Discuss the questions with your peers—discussion can stimulate critical thinking.
PATIENT SITUATION:
Haley, a 15-year-old female high school student, was admitted to the hospital with shortness of
breath and right-sided chest pain when breathing. She states that she has had “the flu” for 3 days.
She has a history of asthma since age 6, and smokes a half pack of cigarettes a day. Both her
parents are heavy smokers.
An IV was initiated, and she is receiving 800 mg of vancomycin (an antibiotic) intravenously
every 12 hours. She is not on oxygen therapy, but receives 10 incentive spirometer treatments per
hour while awake.
Her heart rate is 80 beats/min, respiratory rate 24 breaths/min, and blood pressure 110/70 mm
Hg. Her skin is pale but warm, and capillary refill time is 2 seconds. She has no clubbing of the
fingers. She is urinating approximately 400 mL of clear yellow urine every 8 hours and
maintaining a normal bowel elimination pattern.
Laboratory results are:
Red blood cell count (RBCs): 3.56 × 106 (3.56 million/mm3)
White blood cell count (WBCs): 11,800/mm3
Hemoglobin: 11.2 g/dL Hematocrit: 32.7%
Haley says, “I feel really tired, and too weak to even pick up a glass of water.” Her cough
produces white, thick sputum. Sputum culture on admission confirms a diagnosis of
streptococcal pneumonia.
1. Theoretical Knowledge:
A. According to the Centers for Disease Control and Prevention, should Haley have received
a pneumonia immunization? Why or why not?
According to the CDC Haley should’ve gotten a pneumonia immunization
because she said she had the flu for 3 days and the flu is a sign of
pneumonia and she has strep on the sputum culture which would make
people think its not early strep and that also can lead to pneumonia
(Causes of Pneumonia. (2020, March 9). Retrieved March 15, 2020, from
https://www.cdc.gov/pneumonia/causes.html)
B. What is clubbing of the fingers? You may wish to refer to Chapter 21 [in your textbook]
for review, or to a medical–surgical nursing text.
Clubbing is a change in nail shape where the nail plate angle is 180
degrees or more and can be associated with long term hypoxic states
(Treas 510)
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