You have been called to a nursing home for an 86-year-old woman with pneumonia. The patient's airway is patent, respirations labored, and skin cool and pale, with an intact radial pulse. The vital signs are: pulse 124, respirations 20, blood pressure 104/58 mmHg, SpO₂ at 91%, and temperature 98.2^°F. The patient also complains of chest pain and has a cough. Given this situation, the focus of your care should be:

Question

Quizplus · Accepted Answer

The patient's primary problem is pneumonia, which affects her ability to oxygenate efficiently. The hypoxemia (low oxygen saturation) is evidenced by the SpO2 reading of 91%. Maintaining adequate oxygenation is the priority, which can be done by giving supplemental oxygen, monitoring SpO2 levels, and observing the respiratory rate and effort. Transport to the hospital may be necessary, but ensuring adequate oxygenation should be done first. Obtaining a 12-lead ECG may be helpful, but it is not the priority in this scenario. Eliminating chest pain is also important, but it is not the primary focus of care.

You Have Been Called to a Nursing Home for an 86-Year-Old