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1. What will be the nursing diagnosis. 2.

What is an emergent and non-emergent nursing assessment and intervention. 3. What will be patient and / or family member teaching. 4. Is a referral to a service, specialist or community program needed for this patient? If so, explain why. Joan Dixon is a 65-year old female brought to the emergency department by her adult daughter at 1245 hours. The patient has a current medical diagnosis of COPD, and has experienced difficulty breathing for the last three hours. Patient Dixon is known to the ED staff because of her frequent ED visits due to exacerbation of COPD. The ED record indicates that at 1250 hours, the patient's O2Sat was 89% without oxygen. The patient was given oxygen 2LNC and the nurse recorded a 91% O2Sat at 1230 hours.

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