Peripheral vascular disease

You are assigned to take care of Mrs. Jones, a 62-year-old patient with peripheral vascular disease (PVD), congestive heart failure (CHF,) and Emphysema. She has severe dyspnea, is emaciated due to her lack of appetite, is dehydrated, and is easily fatigued. She requires frequent small snacks because she does not have the energy to eat large meals. She also requires supplemental oxygen continuously to keep her oxygen saturation above 93%. She needs many breaks during her ADL’s to conserve energy. Her feet and ankles are usually swollen and she does not like to wear shoes.

She is on a fluid restriction, ‘no added salt’ diet, and must be weighed daily. She smokes 3-4 cigarettes a day, outside in the resident smoking area. 1.What are 4 possible signs and symptoms that would indicate that Mrs. Jones’s oxygen saturation has fallen below normal limits (signs of hypoxemia)? reference: Nursing Assistant: A Nursing Process Approach by Acello

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