Question

Application to Practice Scenario Mr. Dan Griffith is a 6 shortness of breath and chest tightness of recent onset. 5-year-old male who presented to the emergency department with e has a 7-year history of chronic obstructive pulmonary disease and is on oxygen at ome. Physical assessment reveals a respiratory rate of 32 and slightly labored, temperature of 98.9°F, and SpO2 of 86% while on oxygen via nasal cannula at 2 L/min 1. Which of the following additional manifestations would be expected with a patient with emphysema? A. Productive cough with thick sputum B. A-P thoracic diameter of 1:1 C. Cyanosis D. Edema riffith is admitted to the pulmonary unit with acute exacerbation of emphysema. ix hours after arriving to the floor, you notice that his respiration rate has dropped from 8 to 8 breaths/min. The nurse notes that Mr. Griffith's oxygen is set at 8 L/min via nasal 2. Mr. Gr cannula. Which action should the nurse take next? Call respiratory therapy to administer an albuterol treatment B. Auscultate the patient's breath sounds C. A. Change the nasal cannula to a mask D. Decrease the rate of oxygen flow 3. Which of the following nursing diagnoses would be the highest priority for Mr. Griffith? A. Ineffective airway clearance B. Impaired gas exchange C. Activity intolerance D. Self-care deficit On his second day in the hospital, Mr. Griffith's morning weight indicates a 5-pound weight gain since admission. The client's weight gain may reflect which associated complication of emphysema? 4. A. Metabolic acidosis B. Respiratory alkalosis C. Cor pulmonale D. Pneumonia 5. With treatment, Mr. Griffith's condition is improving. The nurse is teaching him how to perform pursed-lip breathing for when he goes home. He asks the nurse to describe the purpose of this breathing technique. The nurse explains that A. It prolongs expiration, thereby decreasing the amount of air trapped in the alveoli B. It prolongs inspiration, thereby increasing oxygenation C. It strengthens the accessory muscles. D. It decreases the use of accessory muscles.

Answer 1

1b Developing of barrel chest due to air trapping is an expected finding .

2b An exacerbration is difficult to diagnose .therefore first the primary cause of the exacerbration is identified,if possible and then specific treatment is admnistered.

3A Diminishing the quantity and viscosity of sputum can clear the airway and improve pulmonary ventillation and gas exchange.So the nursing diagnosis will be Ineffective airway clearance related to bronchoconstriction ,increased mucus production ,ineffective cough,bronchopulmonary infection and other complications.

4D

5 A Pursed lip breathing helps slow expiration ,prevent collapse of small airways and control the rate and depth of respiration