Question

PN 200 Fundamentals of Nursing II Asthma- Albutero ( i Mr. MZ is a 66 year-old male, lives in a two story home in rural Vermont. He complains of shortness of breasth, wbeezing and cough, primarily at night. MZ tels the curse that he takes muliple asthma medications, and one of them is albuterol which is administered via a nebulizer He is S feet 11 inches tal and weighs 118 pounds. He admits to loss of appetite and reports Ieat enough to keep going" 1. In reporting that be takes "multiple asthma medications“ what is the first question you need to ask him? What questions would you ask bim regarding his home? Mr. MZ reports administering his albuterol via nebudlizer. What patiect teaching would 2. 3. you do? 4. Why would his cough be mostly at night and what recommendations would you make to ensure be gets sufficient rest? Based on his weight and his beight, what dietary recommendations could you make for this patient? 5. 6. What are the most relevant nursing diagnoses for this patient?

Answer 1

1. How often does he take the medication

2. - the environment surrounding his home

- population residing and the pollution

3. - use it with the prescription

- the dosage and frequency must be followed

- if side effects appears stop the drug and monitor to prevent the complications.

4. As the sleep causes the airway to become narrow causing increased airflow resistance. This may trigger the night time coughing. The teaching of rest is advice the patient to take day time naps in order to keep up the energy and rest

5. 1500-1800

6. - impaired breathing pattern related to accumulation of secretions  

- disturbed sleep pattern related to cough

- risk for complication related to drug compliance