You have been called to a nursing home for a 91-year-old female with pneumonia. The patient is to be transported to a local hospital for further treatment. When asked, the staff confirms and then produces the patient's Do Not Resuscitate (DNR) order. The patient's airway is patent, respirations labored, and skin warm, with an intact radial pulse. The vital signs are: pulse 124, respirations 20, blood pressure 104/58, SpO₂ at 91%, and temperature 101.2∘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 low oxygen saturation and respiratory distress indicate a need for adequate oxygenation. This is a priority in the care of a patient with pneumonia. Transport to the hospital is necessary but should be done while addressing the patient's immediate needs, such as providing supplemental oxygen. Decreasing the fever and eliminating the chest pain may also be important, but ensuring adequate oxygenation should be the initial focus of care.

You Have Been Called to a Nursing Home for a 91-Year-Old