Patient Profile Discussion

Mr. Artuso is a 63-year-old electrician who came to the emergency department complaining of shortness of breath, morning cough, and swelling in his lower extremities.

Subjective Data

Has smoked one pack of cigarettes daily for over 30 years

Has difficulty breathing when he walks

Has been sleeping in a recliner to make it easier to breathe

His shoes are tight at the end of the day

Objective Data

Physical Examination

Blood pressure 125/90, pulse 90, temperature 98.4° F, respirations 32

Increased anterior-posterior diameter

Breath sounds diminished with prolonged expiration

2+ peripheral edema bilateral lower extremities

Thin with muscle wasting

Respirations labored

Diagnostic Studies

Arterial blood gases: pH 7.32, SaO2 86%, PaCO2 55 mm Hg, PaO2 70 mm Hg

Chest x-ray shows hyperinflation of lungs

FEV1 65%

Question 1

What in Mr. Artuso’s history is commonly associated with pulmonary problems?

Question 2

Interpret Mr. Artuso’s arterial blood gases.

Question 3

What is a likely medical diagnosis for Mr. Artuso?

Question 4

What assessment data and diagnostic study results led you to this diagnosis?

Question 5

What complication associated with this diagnosis does Mr. Artuso also have? What clinical manifestation led you to that and what is the cause of it?

Question 6

What are the priority nursing diagnoses for Mr. Artuso at this time?

Question 7

What interventions are indicated for Mr. Artuso and what outcome is expected for each intervention?

Question 8

As part of patient teaching, is it “too late” to encourage Mr. Artuso to stop smoking? Why?

Question 9

What other teaching needs would you review with Mr. Artuso while he is hospitalized?

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.