Miranda, age 43 had abdominal surgery five days ago for a ruptured appendix. Her hospital stay has been lengthened for further investigation....

Question Answered step-by-step Miranda, age 43 had abdominal surgery five days ago for a rupturedappendix. Her hospital stay has been lengthened for further investigation. Yesterday, she complained of weakness and had trouble getting out of bed. She has not been eating or drinking much for the past couple of days. Earlier today, a chest X-Ray confirms that Miranda has right lobe pneumonia. She tells the nurse that she is not surprised about her test result because she has been feeling unwell since the surgery. Miranda complains of dyspnea just after coming back to the unit. She states that “quite often, I am producing thick yellowish secretions which is very hard for me to cough up.” The nurse notes that Miranda’s cough is weak, she takes a sample of Miranda’s sputum to send for culture and sensitivity testing.The RPN just entered Miranda’s room and assessed her vital signs as follows: BP – 132/82, Temp – 38°, Heart Rate – 101, O2 Saturation – 91%, Respirations – 23. When the nurse auscultates Miranda’s posterior chest she notes decreased breath sounds and the presence of popping sounds in the right lobe. The nurse notes that the skin around Miranda’s mouth is bluish in colour. Capillary refill is less than 3 second and skin turgor is good. Miranda told the nurse that she is willing to do what she needs to so that she can go home as soon as possible Health Science Science Nursing PNUR 104 Share QuestionEmailCopy link Comments (0)