WEEK 2: Asthma Nursing care plan

Question 1

what are the nursing diagnosis when it comes to copd patients? ( name one )

Answer 1

effective breathing pattern evidence by three point position, pursed lip breathing, use of acc muscle to breathe

Question 2

is this a true nursing diagnosis to a copd pt? ineffective airway clearance related to excessive
mucus, retained secretions as evidenced by ineffective
cough, absence of cough, diminished breath sounds

Answer 2

true

Question 3

recall that a copd patient has an impaired gas exchange now name a rationale for it

Answer 3

(related to alveolar
hypoventilation, as evidenced by headache on
awakening, PaCO2 ≥ 45 mm Hg and abnormal for
patient’s baseline, PaO2 <60 mm Hg, or SaO2 <90% at
rest

Question 4

what undergoes impaired gas exchange and what is ou nursing interventions and rationales

Answer 4

monitor resp and oxygen
teach pursed lip breathing
assist the patiet to assume comfort ( tripod position, elevated back, support of upper extremities to fix shoulder girdle )

admin broncho and teach

Question 5

what are the signs and symptoms of hypercapnia

Answer 5

confusion, somnlence, headache, irritability, decrease in mental acuity , increase in resp, facial flush, diaphoresis

Question 6

true or false. teach avoidance of central nervous system depressants because they further depress respirations

Answer 6

true

Question 7

it is encourage for a copd pt to provide menu suggestions for high protein and high calories foods to ensure maintenance of weight.

Answer 7

true

Question 8

discuss the benefit of five to six meals throughout the day because this reduces bloating

Question 9

why might a copd be having distubed sleep?

Answer 9

dyspnea, orthopnea, paroxysmal nocturnal
dyspnea) as evidenced by unintentional awakening,
feeling unrested

Question 10

teach the patietn to avoid alcohol beverages caffeine or other stimulations before bedtime to reduce interference with sleep

Answer 10

yuuuup