TAKE ACTIONS CASE STUDY 3-16

Increase oxygen to 50% per venti mask and elevate head of bed 30-45 degrees.

Encourage oral fluids of at least 8 glasses of water per day.

Promote turning side to side, coughing, and deep breathing, every 2 hours while awake.

Administer albuterol 2 puffs as a inhalation prn every 4-6 hours as prescribed.

Instruct client on importance of effective use of incentive spirometer every 2 hours while awake.

Elevate the head of the bed 30-45 degrees.

Monitor pulse oximetry every shift.

Encourage oral fluids of at least 8 glasses of water per day.

Place client in an airborne infection isolation room (negative pressure).

Promote turning side to side, coughing, and deep breathing every 2 hours while awake.

Request an order for computer tomography (CT) scan of the chest.

Increase or maintain oxygen to 50% per venti mask.

Instruct the client on the importance of effective use of incentive spirometer every 2 hours while awake.