Why did the Revolution cause more radical changes in Pennsylvania…

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Question Answered step-by-step Why did the Revolution cause more radical changes in Pennsylvania… Why did the Revolution cause more radical changes in Pennsylvania than elsewhere, and how was this radicalism demonstrated in the new state constitution? History US History HIST 17A Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Mr. Ahmed is a 75-year-old male admitted with an exacerbation of... Mr. Ahmed is a 75-year-old male admitted with an exacerbation of chronic obstructive pulmonary disease (emphysema). He has been keeping the head of the bed up for most of the day and night to facilitate his breathing which has resulted in lower back pain. Acetaminophen (Tylenol) was not effective in reducing his pain, so the health care provider has prescribed oxycodone/acetaminophen (Percocet) one to two tablets PO every four to six hours as needed for pain.Mr. Ahmed is on 2 liters of oxygen by nasal cannula. He can receive respiratory treatments of albuterol (AccuNeb, Proventil, Ventolin) every six hours as needed. Mr. Ahmed needs someone to walk beside him when he ambulates because he has an unsteady gait and often needs to stop to catch his breath.The nurse enters the room and finds Mr. Ahmed hunched over his bedside table watching television. He says this position helps his breathing. His lung sounds are clear but diminished bilaterally. Capillary refill is four seconds and slight clubbing of his fingers is noted. His oxygen saturation is being assessed every two hours to monitor for hypoxia. Each assessment reveals oxygen saturation at rest of 90% to 94% on 2 liters of oxygen by nasal cannula. After breakfast, Mr. Ahmed complains of lower back pain that caused him increased discomfort while ambulating to the bathroom. He describes the pain as a dull ache and rates the pain a "6" on a 0-10 pain scale. He requests two Percocet tablets.The nurse assesses Mr. Ahmed's vital signs (blood pressure 150/78, pulse 90, respiratory rate 26) and gives the Percocet as prescribed. Forty-five minutes later, Mr. Ahmed states the Percocet has helped relieve his back pain to a "2" on a 0-10 pain scale and he would like to take a walk in the hall. The nurse checks his oxygen saturation before they leave his room, and it is 92%. Using a portable oxygen tank, the nurse walks with Mr. Ahmed from his room to the nurse's station (approximately 60 feet). Mr. Ahmed stops to rest at the nurse's station because he is short of breath. His oxygen saturation at the nurse's station is 86%. After a few deep breaths and rest, his oxygen saturation rises to 91%. Mr. Ahmed walks back to his room where he sits in his recliner to wait for lunch. His oxygen saturation is initially 87% when he returns and then 91% after a few minutes of rest. Expiratory wheezes are heard bilaterally when the nurse assesses his lung sounds. While Mr. Ahmed waits for lunch to arrive, the nurse calls respiratory therapy to give Mr. Ahmed his albuterol treatment. The respiratory treatment and rest relieve his acute shortness of breath. His oxygen saturation is now 93%, and his lung sounds are clear but diminished bilaterally. Questions1. Briefly define chronic obstructive pulmonary disease (COPD). What pathophysiology is occurring in the lungs of a client with emphysema?2. What are five signs and symptoms of respiratory distressthe nurse may observe in aclient with COPD?3. Describe the physical appearance characteristics of a client with emphysema.4. Are Mr. Ahmed's oxygen saturation readings normal? Explain your answer.5. Explain the effects that acute pain can have on an individual's respiratory pattern andcardiovascular system.6. List five nonpharmacologic interventions that the nurse could implement to help decreaseMr. Ahmed's difficulty breathing.7. How would the nurse measure the effectiveness of the interventions suggested in question number 6?8. Explain why the nurse did not increase Mr. Ahmed's oxygen to help ease his shortness of breath.9-What are three nursing diagnoses that address physical and/or physiological safety concerns for Mr. Ahmed?10- Mr. Ahmed will be returning home with oxygen. List at least five safety considerations the nurse should include in discharge teaching regarding the use of oxygen in the home.  Thanks  Health Science Science Nursing NURSING NUR562 Share QuestionEmailCopy link Comments (0)
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