online solution: JQ, a 42-year-old woman, has a 25-year history of heavy smok

JQ, a 42-year-old woman, has a 25-year history of heavy smoking and… JQ, a 42-year-old woman, has a 25-year history of heavy smoking and now has advanced-stage chronic obstructive pulmonary disease (COPD). She has been admitted to the pulmonary ICU for severe respiratory distress. In examining JQ, you find that she has a thoracic cage with a 1:1 diameter (barrel chest), typical of advanced COPD patients. Her limbs appear wasted with little muscle or fat present. An arterial blood gas is drawn showing hypoxemia as well as acute respiratory acidosis. A serum albumin is also drawn, and the result is an albumin level of 3.Explain what information JQ’s serum albumin level can give us that may be helpful in evaluating her status.Further testing shows that JQ is in a negative nitrogen balance. What does this mean?The pulmonary team orders indirect calorimetry to be done on JQ. Briefly explain what this test measures.Based on what you now know about Jason’s situation, what do these data suggest?Evaluating respiratory quotient (RQ) may be especially valuable in JQ’s situation since she has COPD. What does RQ measure, and why would it be helpful in nutritional treatment for COPD patients?                         Health Science Science NursingNURSING NURS 4286.

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