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Complex Patient Scenarios

A nurse is caring for a 45-year-old patient with chronic obstructive pulmonary disease (COPD) who was admitted with acute exacerbation. The patient is receiving oxygen therapy at 2 L/min via nasal cannula and has been started on corticosteroids and bronchodilators. The patient presents with increased dyspnea, productive cough with thick yellow sputum, and reports feeling anxious about breathing difficulties. Vital signs: BP 130/80 mmHg, HR 105 bpm, RR 26/min, O2 sat 84% on room air, temp 101.5°F. Which nursing assessment finding requires the most immediate intervention?

해설
Oxygen saturation below 90% with exertion indicates severe hypoxemia requiring immediate intervention to prevent respiratory failure. Other findings (HR, BP, temp) are less urgent.
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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