NURS 3300 - Learning Assessment #19 (Gas Exchange #1) PDF

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Michael C. Ertle

N3300- Health Challenges Lower Respiratory Disorders—Learning Assessment 1. When a patient with COPD experiences an exacerbation and develops severe dyspnea even at rest, name 3 things you can do as a nurse (without a physician’s order) to help. A. Teach client how to use diaphragmatic breathing B. Teach client how to use Purse lip breathing C. Asses lung sounds 2. Explain the advantage of using a space with inhaled medication for Asthma. 

A spacer gives someone more time to use the inhaler and makes the overall process simpler. It also reduces the need for coordination when pressing the inhaler and breathing in the medicine. Lastly, spacers extend the amount of time the inhaler takes to deliver medicine.

3. The nurse is teaching a 33 year old male patient with asthma how to administer fluticasone (Flovent) by metered-dose inhaler. Which statement by the patient indicates correct understanding of the instructions? (highlight the correct answer) a. “I should not use a spacer device with this inhaler.” b. “I will rinse my mouth each time after I use this inhaler.” c. “I will feel my breathing improve over the next 2-3 hours.” d. “I should use this inhaler immediately if I have trouble breathing.” 4. Match column B with the appropriate term in column A.

1. 2. 3. 4. 5. 6. 7. 8.

Column A Allergens Mast Cells Expiratory Wheeze Night sweats Short Acting Beta agonist Leukotriene antagonists Nebulizer Peak Expiratory Flow Meter

2 8 1 6 3 4 5 7

Column B Stimulates mucous production Measures amount of exhaled air Common trigger for asthma Used to treat step 3 asthma or above Caused by airway constriction Classic Symptom for tuberculosis Rescue inhaler Inhaled medicated mist

5. Name 3 interventions that will help a patient to cough up very thick sputum a. Teach the patient to take a deep breath, hold for 2 seconds, and then cough 2-3x. b. Us abdominal muscles for more forceful cough. c. Sit patient upright...