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Complex Patient Scenarios

A nurse is caring for a 58-year-old patient with acute exacerbation of chronic obstructive pulmonary disease (COPD) who was admitted 2 hours ago. The patient is receiving oxygen at 2 L/min via nasal cannula and has been started on nebulized bronchodilators. The patient presents with increased work of breathing, use of accessory muscles, and reports feeling 'like I can't catch my breath.' Vital signs show: BP 160/95 mmHg, HR 115 bpm, RR 32/min, O2 sat 79% on 2L O2, temp 99.0°F. Which assessment finding should the nurse prioritize for immediate intervention?

해설
Oxygen saturation of 88% indicates severe hypoxemia requiring immediate intervention to prevent respiratory failure. Other findings (BP, HR, RR) are concerning but secondary to hypoxemia.
같은 주제 다음 문제A 68-year-old patient with chronic obstructive pulmonary disease (COPD) is admitted to the…이 문제가 수록된 문제집[개념+기출] 엔클렉스(NCLEX), 이거 하나면 됩니다69,000원
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