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학습 자료 둘러보기 →When a patient with COPD and cardiac history presents with acute dyspnea, wheezing, and decreased breath sounds, the immediate priority is to recognize the clinical deterioration. The nurse must perform a focused assessment and notify the physician promptly, as this indicates a potential acute exacerbation requiring urgent medical orders.
Laboratory values such as a mildly elevated creatinine of 1.8 mg/dL and a normal potassium of 4.2 mEq/L are secondary concerns. The primary threat is the airway and breathing compromise. Do not delay escalation to manage non-critical lab results or to independently adjust medications like diuretics or antihypertensives.
A blood glucose of 120 mg/dL is not a hyperglycemic emergency. Avoid independent actions such as administering insulin or holding medications without a direct order during an acute change in respiratory status.
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