Nursing Case Study : Every thing is attached below.

Acute Respiratory Failure & Pneumonia Case Study

Part 1

Instructions: Submit Part 1 of the case study through Blackboard. Your grade on Part 1 and Part 2 will be averaged together for a final case study grade.

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Nursing Case Study : Every thing is attached below. 1

Nurse’s Notes

09:30. The client was intubated with #6 endotracheal tube and was placed on assist control mechanical ventilation, rate 14, PEEP 5 mm Hg, FIO2 60%. VS T 99.8F37.7C), HR 110, RR 14; BP 180/90; pulse oximeter is 96%, and the client is restless.

  1. Which 3 findings are most urgent? Click in the box in front of the findings to select.

  • B/P 168/90

  • WBC 35,000 cells/mm3

  • Lactate 4.5 mEq/L

  • Ph 7.2

  • PCO2 50 mm Hg

  • PO2 75 mm Hg

  • Respiratory rate 30 bpm

  • Gram negative cocci

  • Pulse oximeter 87%

  1. Based on the case presentation, identify three nursing problems (or nursing diagnoses) that would be applicable to this patient. Prioritize these problems from highest to lowest.

  1. Identify four (4) nursing interventions with supporting scientific rationales applicable to this patient. Include one assessment type intervention, one implementation, one psychosocial and one teaching intervention. Include your full references using APA format (7th Edition).

Nursing Interventions

Scientific Rationales

References: (APA format)

  1. The nurse receives the orders below. Highlight which 3 orders should be performed first.

Nursing Case Study : Every thing is attached below. 2