D.Z., a 68-year-old man, is admitted at 1600 to a medical floor…

Question Answered step-by-step D.Z., a 68-year-old man, is admitted at 1600 to a medical floor… D.Z., a 68-year-old man, is admitted at 1600 to a medical floor with a diagnosis of acute exacerbation of chronic obstructive pulmonary disease (COPD). His other past medical history includes hypertension and type 2 diabetes. He has had pneumonia yearly for the past 3 years and has been a two-pack-a-day smoker for 38 years. His current medications include enalapril (Vasotec), hydrochlorothiazide (HCTZ), metformin (Glucophage), and fluticasone/salmeterol (Advair). He appears a cachectic man who is experiencing difficulty breathing at rest. D.Z. seems irritable and anxious; he complains of sleeping poorly and states that lately he feels tired most of the time. He reports cough productive of thick yellow-green sputum. You auscultate decreased breath sounds, expiratory wheezes, and coarse crackles in both lower lobes anteriorly and posteriorly. His vital signs (VS) are 162/84, 124, 36, 102° F (38.9° C), and Spo2 88%.Physician’s OrdersDiet as toleratedOut of bed with assistanceOxygen (O2) to maintain Spo2 of 90%IV of D5W at 50 mL/hrECG monitoringArterial blood gases (ABGs) in amCBC with differential nowBasic metabolic panel (BMP) nowChest x-ray (CXR) dailySputum cultureAlbuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT1.   Are D.Z.’s VS and SpO2 acceptable? If not, explain why.2.   Describe a plan for implementing these physician’s orders.3.   What is the primary nursing goal at this time? Health Science Science Nursing RNSG 2535 Share QuestionEmailCopy link Comments (0)