Question

chapter 18 Thorax and Lungs M.C. is a 69-year-old man who presents to the outpatient office with a hacking, raspy cough. Subjective Data PMH: HTN, DM Cough is productive, bringing up green phlegm Runny nose, sore throat Denies fever Sore throat pain when swallowing No history of smoking or seasonal allergies Complains of fatigue Objective Data Vital signs: T 37 P 72 R 14 BP 134/64 Lungs: + Rhonchi bilateral upper lobes, wheeze O2 Sat = 98% Ears = TM bulging Nose = + erythema, yellow discharge Throat = + erythema, – pustules Medications: Metoprolol 12.5 mg per day, Glucophage 500 mg twice a day Questions What other questions should the nurse ask about the cough? Develop a problems list from the objective and subjective data. What nursing diagnoses can be derived from the problems list? What should be included in the plan of care? What risk factors are associated with this age group? Based on the readings, what is the most likely cause of this patient’s cough?

Answer 1

What other questions should the nurse ask about the cough?

Answer:-

What sort of cough is it? Wet or dry?

When did the cough begins?

Is there any bodily fluid? What shading is it?

Are there some other ailments present? Asthma, diabetes, hypertension?

Is the patient on any prescription?

Does the patient smoke?

Develop a problems list from the objective and subjective data? And Diagnosis?

Most hacks will leave alone after a respiratory contamination is settled with or without explicit treatment. A hack that doesn't leave will require therapeutic consideration.

A standout amongst the most significant things when managing hack is to decide whether an intense or progressively genuine illness is the reason. Fortunately, by far most of intense hack causes are mellow upper respiratory tract diseases, for example, basic virus.

Cautioning signs related with a hack that may demonstrate an increasingly genuine malady or condition include:

Shortness of breath

Chest torment

Rash/facial swelling

Hacking up blood (hemoptysis)

Fast relaxing

fevers

Risk:-

Answer

Smoking: Current or previous smoking is a noteworthy hazard factor for perpetual hack. This is brought about by direct inward breath of cigarette poisons or used smoking

Hypersensitivities: People with sensitivities have an expanded danger of creating hack when presented to a particular sensitivity trigger.

Natural: Some work environments may have aggravations noticeable all around that one can take in and cause hack. High contamination zones or utilizing coal for cooking or warming can likewise build your danger of hack.

Unending lung maladies: People with asthma, bronchiectasis , COPD, and past lung diseases with scars are at expanded danger of creating hack.

Female sex: Women have a progressively delicate hack reflex, expanding their danger of creating interminable hack.

Cause of cough?

Lung breakdown or pneumothorax, This is brought about by the collapse of the lung. It very well may be unconstrained or because of chest injury. All the more ordinarily found in smokers with history of emphysema (called as air pockets inside the lungs), indications of lung breakdown incorporate unexpected chest torment, dry hack and shortness of breath.