A bronchoscopy requires NPO status for 6 to 12 hours before the test, and invasive tests (e.g., bronchoscopy, mediastinoscopy, biopsies) require informed consent that the HCP should obtain from the patient. Administer oxygen with hydration as prescribed. Monitor ABGs and oxygen saturation.Decreasing sp02 signifies hypoxia. Provide tracheostomy care. The nurse must understand how to monitor for worsening infection, complications, and the rationales for treatment. Changes in oxygen therapy or interventions should be avoided for 15 minutes before the specimen is drawn because these changes might alter blood gas values. The live attenuated influenza vaccine is given intranasally and is recommended for all healthy people between the ages of 2 and 49 years but not for those at increased risk of complications or HCPs. Mixed venous blood gases are used when patients are hemodynamically unstable to evaluate the amount of oxygen delivered to the tissue and the amount of oxygen consumed by the tissues. Saunders comprehensive review for the NCLEX-RN examination. Decreased immunoglobulin A (IgA) decreases the resistance to infection. Impaired gas exchange is a nursing diagnosis that describes the inability of your body to oxygenate blood adequately. b. CO2 causes an increase in the amount of hydrogen ions available in the body. This assessment helps ensure that surgical patients remain infection-free, as nosocomial pneumonia has a high morbidity and mortality rate. Nursing Diagnosis related to --- as evidence by---Impaired gas exchange related to inflammation of airways, fluid-filled alveoli, and collection of mucus in the airway as evidenced by dyspnea and tachypnea (Carpenito, 2021). Nurses Pocket Guide Diagnoses, Prioritized Interventions, and Rationales (11th ed.). Functional Health Pattern Immobile patients or those who need assistance should be turned every 2 hours, assisted into an upright position, or transferred into a chair to promote lung expansion. 3. Atrial Fibrillation Nursing Diagnosis and Nursing Care Plan, Readiness for Enhanced Coping Nursing Diagnosis and Nursing Care Plans, Cystic Fibrosis Nursing Diagnosis Care Plan - NurseStudy.Net. Ventilator-associated pneumonia is one of the subtypes of hospital-acquired pneumonia. Pulmonary activities that help prevent infection/pneumonia include deep breathing, coughing, turning in bed, splinting wounds before breathing exercises, walking, maintaining adequate oral fluid intake, and using a hyperinflation device.

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