A patient with pneumonia has a respiratory rate of 32 per minute, confusion and an oxygen saturation of 84% despite oxygen therapy. Which finding should the nurse report first?
Correct answer: C. The patient is confused and remains severely hypoxemic
- A. The patient reports pleuritic chest discomfort
- B. The patient has a temperature of 38.3°C
- C. The patient is confused and remains severely hypoxemic
- D. The patient has a productive cough with yellow sputum
Explanation
Confusion with severe hypoxemia indicates inadequate oxygen delivery to the brain and possible respiratory failure. Airway and breathing problems take priority over fever, sputum colour and pleuritic discomfort.
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About Respiratory Nursing
Covers nursing assessment and management of asthma, chronic obstructive pulmonary disease, pneumonia, tuberculosis, pleural disorders and respiratory failure. Key areas include breath sounds, oxygen therapy, airway suctioning, inhaled medicines, arterial blood gases and the difference between hypoxia, hypoxemia and carbon dioxide retention.
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