100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR 330 Exam 3 Review Questions and Answers $10.99   Add to cart

Exam (elaborations)

NUR 330 Exam 3 Review Questions and Answers

 2 views  0 purchase
  • Course
  • NUR 330
  • Institution
  • NUR 330

Know how to instruct a pt. to use a metered dose inhaler (MDI) 1. Take cap off and shake inhaler 2. Breathe out all the way 3. Hold the inhaler the way your doc said: A) 1-2 inches in front of your mouth B) Use spacer/holding chamber C) Put the inhaler in your mouth, you will see a lot of people do...

[Show more]

Preview 3 out of 20  pages

  • September 30, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 330
  • NUR 330
avatar-seller
twishfrancis
NUR 330 Exam 3 Review Questions and
Answers
Know how to instruct a pt. to use a metered dose inhaler (MDI) ✅1. Take cap off and
shake inhaler
2. Breathe out all the way
3. Hold the inhaler the way your doc said: A) 1-2 inches in front of your mouth B) Use
spacer/holding chamber C) Put the inhaler in your mouth, you will see a lot of people do
this
4. Breathe in slowly: as you start breathing in slowly, through your mouth, press down
on the inhaler one time. Keep breathing in slowly, as deeply as you can
5. Hold you breath as you count to 10 slowly, if you can. For inhaled quick-relief meds
wait about one minute between puffs if it is NOT a quick relief med. Rinse mouth after
inhaling a steroid or could cause thrush (a yeast infection in the mouth identified by
while painful patches)
6. Clean MDI PRN with hot water only. Dry overnight
7. Know when it will run out. Most MDIs have 200 puffs. If you are to take 8 puffs per
day, divide this by the number of puffs in the inhaler (200/8=25). You will have 25 days
to use this inhaler. write the dates on the canister in which it will run out.

Know what to teach pt about a pulmonary function test (PFT) and what to instruct them
for the test. ✅Teach: It is used to evaluate lung function. It involves the use of
spirometer to assess air movement as pt. performs prescribed respiratory maneuvers.

Instruct: Avoid scheduling immediately after meal time. Avoid administration of inhaled
bronchodilator 6 hours before procedure. Explain procedure to pt. Assess for resp.
distress before procedure and report. Provide rest after the procedure

How to find your personal best peak flow number... ✅- The highest peak flow number
you can achieve over a 2 week period when asthma is under control
- Because each pt. asthma is different, each pt. PEF may be higher or lower than the
PEF of another pt. similar to body weight and height.
- To find the best peak flow number:
* Do at least 2x/day for 2-3 weeks
* When you wake up & in later afternoon or early evening
* 15-20 minutes after taking inhaled short acting beta2-agonist for quick relief
* As instructed by health care provider

What to do for a patient once you know their peak flow number... ✅- Let your health
care provider know
- They will give you the number's that will tell pt. what to do
- The peak flow numbers are put into zone set up like traffic lights, that help you know
what to do when your peak flow number changes...

,Peak flow number: Green Zone ✅80% of your personal best numbers signals good
control. No asthma symptoms present. Take your medications as usual

Peak flow number: Yellow Zone ✅50% to less than 80% of your personal number
signals caution. If remain in this zone after several measures of peak flow, take inhaled
short-acting beta 2 agonist.

If continue in yellow zone, asthma may not be under good control. Ask doctor if need to
change or increase your patient's daily medications

Peak flow number: Red zone ✅Les than 50% of your personal best numbers signals a
medical alert. You MUST take an inhaled short acting beta 2 agonist immediately.

Call health care provider or ED & ask what to do, or go directly to hospital ED

Actions to take when Peak Flow Numbers change ✅PEF goes between ____L/min
and ____ L/min (50% less than 80% of personal best, yellow zone)
ACTION: take inhaled short acting beta 2 agonist as prescribed by your doctor

PEF increases 20% or more when measured before & after taking an inhaled short-
acting beta 2 agonist
ACTION: Talk to your doctor about adding more medicine to control your asthma better

What should nurses teach patients with asthma.. ✅- What is asthma
- What is good asthma control
- Environmental/ trigger control
- Medications
- How to use an inhaler, spacer, nebulizer
- Breathing techniques
- Correct use of peak flow meter
- Asthma action plan

Asthma: Subjective Data ✅Past- Allergic reactions, sinus issues, previous sinus
attacks & hospitalizations, Gastroesophageal reflux, Occupational exposures to
chemical irritants

Medications- Adherence, inhaler technique, meds that may precipitate attack in
susceptible asthmatics

Activity- exercise; fatigue; decreased or absent exercise tolerance

Sleep- rest: awaken from sleep due to cough or breathing problems; insomnia

Coping- stress tolerance: emotional distress, stress in work environment or home

, Nursing Diagnosis fro Asthma ✅- Ineffective airway clearance
- Anxiety
- Deficient knowledge

ABG Normal Values ✅pH: 7.35 - 7.45
pCO2: 35-45 mmHg
HCO3-: 22- 26 mEq/L
PaO2: 80-100 mmHg
SaO2: >95%

How to recognize respiratory acidosis ✅pH <7.35
PaCO2 >45

Know the values of PaO2 to identify if hypoxia is an issue... ✅Two best indicators is
SATS >90 (to prevent hypoxia) and ABGs

PaO2 above 80 to prevent hypoxia

Know the importance of pursed lip breathing ✅Breathing exercises may assist patient
during rest and activity by:
- Decreasing dyspnea
- Improving oxygenation
- Slowing the respiratory rate

How to teach patient pursed lip breathing and when ✅Smell the roses; blow out the
candles

Practice 8-10 reps of PLB 3-4 times a day

Nursing Diagnosis for COPD ✅- Ineffective airway clearance
- Anxiety
- Deficient knowledge
- Imbalanced nutrition
- Impaired gas exchange
- Ineffective breathing patterns
- Decreased cardiac output
- Risk for infection
- Insomnia

What is Cor Pulmonale ✅Right sided hypertrophy of the heart caused by pulmonary
hypertension

What would you want to teach a patient with COPD who needs oxygen therapy? ✅-
O2 therapy should not exceed 2 L
- Critical to start on low level O2 and monitor them with ABGs

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

81989 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.99
  • (0)
  Add to cart