R: The next day, you are assigned to care for Mr. James again. The nurse calls before you have a chance to give him his SVN treatment and states that he is complaining of being short of breath and that there is a new order for a STAT ABG. She also reports that he is coughing excessively. Upon entering the room, you notice him purse-lip breathing and using accessory muscles during inspiration. You hear him coughing but it is very weak. He appears SHOB and states he is having “trouble breathing”. Assess: BP 185/135, HR 130 bpm , RR 28, and temp 37 C. Bilateral upper lobe expiratory wheezes and rhonchi in the bases bilaterally. The ABG results are: , and PaO 245 mm Hg . His SpO 2 is . Complete a new SBAR: S: B: A: R: Three days later, his oxygen has been weaned back down to his baseline of 1.5 lpm nasal cannula and he states he feels better and would like to go home. The physician asks for you to recommend a home regime for this patient. Home Recommendations:
[Verified Answer]: R: The next day, you are assigned to care…
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