Question

Norma Times New.... 12. BI U AA EEEEE Case study Assessment of Respiratory Function Mr. Jerry Jones is a 76-year-old male complaining of shortness of breath for the past 2 weeks. He has come to his provider's office for evaluation of his symptoms. History of present illness: Mr. Jones reports chest pain that increases with inspiration and a productive cough of thick yellow sputum for the past week. His current weight is stable at 100 kg from his previous visit 6 months ago. He admits to occasionally smoking cigarettes. Case Study: Episode 2 The evaluation of Mr. Jones's complaint of shortness of breath continues with a medical history. Past medical history: Asthma and hypertension. He is unsure of his immunization status and does not remember receiving a PPD, or purified protein derivative skin test (most commonly a Mantoux test) to assess for TB, but does report receiving a flu shot last year. Past surgical history: Denies Allergies: No known drug, food, or environmental allergies Medications: Amlodipine (Norvasc), 10 mg PO daily Hydrochlorothiazide (Hydro DIURIL), 25 mg PO bid Budesonide powder (Pulmicort). 90 mcg inhaled bid Albuterol (Proventil), 2 puffs inhaled pr Multivitamin, 1 tablet PO daily og N bo

Answer 1

Answer:

1. The observed symptoms suggest that there could be most likely pneumonia. Pneumonia is a infection in the lung that can range from mild to so severe. When an infection causes, the air sacs (alveoli) in lungs to fill with fluid or pus. This make it hard to breathe in enough oxygen to reach your bloodstream. This also leads to severe chest pain and cough.

The nursing diagnoses which is in priority for Mr. Jones on the basis of his   diagnosis and symptoms is Ineffective Airway Clearance, pain and fluid volume deficit.

2. The instructions should the nurse include in Mr, Jones’s teaching plan about the management of his pneumonia are, A. To drink plenty of fluids and rest, B. Smoking will exacerbate symptoms and should be avoided during recovery, C. To cough and deep breathe at least 10 times per hour to assist with airway clearance. All these things are the most important things that should be kept in mind for the patient to recover.

3. Antihypertensive medications increases the risk of pneumonia. The statement that indicates that the patient with pneumonia has been effectively taught is, C. “I will stop taking my blood pressure medication because it will increase my risk for developing pneumonia.”

4. Mr. Jones reports his cough is now non-productive indicates a worsening of Mr. Jones’ respiratory condition. Cough helps in clearing the air ways for breathing. This is the reason for which patients are asked to cough often with taking high fluids. The cough is non-productive means that there has been excesive deposition of fluid in the air sac of the lungs.

5. On the basis of Mr. Jones age, the nurse will expect retraction on-inspiration (air blockage in lungs) as a result of normal changes in the respiratory system related to age.