Final answer:
An RN can delegate tracheostomy care to an LPN if the LPN is properly trained and competent for the task, depending on state laws and facility policies. Pneonia impacts gas exchange by filling the alveoli with fluid, which reduces their ability to exchange oxygen and carbon dioxide, thus affecting oxygenation of the blood and removal of carbon dioxide.
Step-by-step explanation:
Yes, a registered nurse (RN) can delegate the task of tracheostomy care to a licensed practical nurse (LPN) in the case of a client with pneumonia, provided the LPN has the competence and training to perform this procedure safely. Delegation will depend on state laws and the policies of the healthcare facility. It is essential to consider the client's condition and the complexity of the care needed when delegating.
Impact of Pneumonia on Gas Exchange
Pneumonia can have a significant impact on the exchange of gases within the lungs. It often leads to the inflammation and filling of the alveoli with fluid, impeding the proper exchange of oxygen and carbon dioxide. This can result in reduced oxygenation of the blood and an increased difficulty in removing carbon dioxide, which are critical functions of the respiratory system.
In general, an infection like pneumonia leads to an accumulation of pus and fluid in the alveoli, which interferes with their ability to expand fully. The alveolar walls swell, and the reduced surface area for gas exchange means there is less oxygen available for the capillaries to transport to the rest of the body, and less capacity to take carbon dioxide away from the blood to be exhaled. Patients with pneumonia typically require increased respiratory support to maintain adequate blood oxygen levels.