Question

Student names: (Ch. 29) You are caring for a 79 year old patient admitted with difficulty breathing who is becoming quite anxious. She states she has had a low grade fever for 2 days, pain, and a "bad Bh. The physician has ordered ABGs, a sputum culture, and chest x-ray. For medications e physician has ordered the following: Tylenol 1000mg po every 6 hours prn temp > 101, thromax 500 mg po today (antibiotic and Albuterol IH every 4 hours prn nebulizer ureatment). The MD has also ordered oxygen per nasal cannula (NC) for oxygen saturation than 95% a. What do you think you should do first for this patient? b. What types of questions should you ask this patient regarding her cough? C. What types of questions will you ask about the fever? d. What types of questions will you ask her about the pain? e. How might you reduce her anxiety?

Answer 1

a as first , we have to give Fowler's position in a bed , as she can breathe easily , without any pain. We have to check - oxygen saturation with spo2 machine. If it's find below oxygen saturation level less than 95, than apply nasal cannula as per MD order, as if she relax , than go for temperature monitor . And talk to patient about her condition

b. We have to ask following questions about cough

1 . From how many day cough persistet or starts ?

2. What type of cough it's is dry or wet ?

3. When did cough starts ?

4 cough contain any mucus if what is color of cough ?

5. Is any medical condition related to cough

6 is patient smoke ?

C. Following type of questions ask about the fever ?

1 fever arise from how many days ?

2 which type of fever low grade or high grade ?

3 is any rigor or chills present with fever ?

4 is take any medicine for fever ?

5 duration of fever ?

d . Following questions ask about pain

1. When pain starts ?

2. Is pain related to cough ?

3 , is pain relive while take rest in Fowler's position ?

e first we have to give her comfortable position and to provide technique to relax

- explain about cause of fever , like it may be related cough or infection or it may due to weather conditions

- check all parameter and explain about each reult like if fever fever - how much and explain , what measure as we taken to reduce , oxygen saturation level - if you apply nasal prongs , explain about that and what it did.

- while providing medication and nebulization , explain about action and how it works