DONE Lower Respiratory Disorders and Acute (Pneumonia): 8 questions- Dr. Larkin

Question 1

Oxygen delivery systems

Answer 1

Nasal Cannula (1-6L)

Face mask (5-10L)

Face tent (10-15L)

Venturi Mask (2-15L)

Non rebreather (12-15L)

High FLow nasal cannula (up to 60L/ min)

Question 2

Client education- pneumonia

Answer 2

Hand hygiene

Encourage adequate rest

Take antibiotics as prescribed

Encourage proper nutrition and fluid intake

Understand signs and symptoms of
worsening respiratory status

Pneumonia vaccine

Question 3

Evaluating outcomes for effective treatment of pneumonia

Answer 3

Stable VS
Absence of fever
Oxygen saturation WNL
Absence of cough/sputum
Clear chest x-ray
Increased energy levels

Question 4

Evaluating outcomes for effective treatment during for an acute asthma attack

Answer 4

Decreased ED visits

Decreased use of rescue medications

Minimal symptoms

Question 5

Expected initial ABGs for a client with asthma

Answer 5

Respiratory alkalosis (rapid breathing)

Question 6

Caring for a client with COPD

Answer 6

Administer bronchodilators and medication as ordered

Provide oxygen
O2 <90
(Do not go over 3 liters of O2 bc it can lead to over oxygenation)

Assist with optimal positioning

Provide small, frequent meals

Question 7

Optimal positioning for effective breathing patterns in clients with COPD

Answer 7

Tripod position

Pursed lip breathing

Semi-Fowler’s position
(Increased oxygenation by allowing adequate lung expansion)

Question 8

Client education on pursed lip breathing

Answer 8

Sit upright with neck and shoulders relaxed

Inhale through the nose slowly, counting “one, two”

Exhale through pursed lips as if you were blowing out a candle, slowly counting “one, two, three, four”

Exhalation should be twice as long as inhalation

Continue until shortness of breath is controlled