1 Camarillo Brandon Camarillo October 14, 2021 Nurs 110 Professor Prachi Garg West Coast University
2 Camarillo 1. What other signs and symptoms might the nurse note during assessment of Mrs. Hogan? a. Abdominal pain, back pain along with muscle pain b. Chest tightness c. Fatigue d. Profuse perspiration 2. In what position should the nurse place Mrs. Hogan and why? a. The nurse should place Mrs. Hogan in the Fowlers position because it is useful in encouraging lung expansion as gravity pulls the diaphragm downward, allowing the aveolar to expand 3. Identify at least five signs and symptoms that indicate that Mrs. Hogan is not responding to treatment and may be developing status asthmatic (a life threatening condition) a. Chest tightness b. Respiratory rate of 34 c. Difficulty speaking d. Patient states she has taking her inhaler but no improvement on breathing. e. Wheezing is noted 4. Mrs. Hogan states that she took her albuterol and beclomethasone prior to coming to the walk in heath care center. How do these medications work? a. Albuterol is a bronchodilator meaning it helps relax muscles in the airway by opening them which allows more air flow into the lungs. Beclomethasone are inhalers. It helps by decreasing the amount of swelling the air in the lungs to improve and help breathing easier.
3 Camarillo 5. Briefly discuss the common adverse effects Mrs. Hogan may experience with the albuterol nebulizer treatment. a. Headaches (Sanoski, C., 2018) b. Dizziness (Sanoski, C., 2018) c. Nausea (Sanoski, C., 2018) d. Chest pain (Sanoski, C., 2018) e. Rash (Sanoski, C., 2018) f. Hives or itching (Sanoski, C., 2018) 6. Physiologically, what is happening in Mrs. Hogan's lungs during an asthma attack? a. Mrs. Logans lungs air ways are becoming inflamed, thin and swollen. Then the airways begin to generate extra mucus causing the bronchial tubes become narrow/thin J. C. (2019). 7. In order of priority, identify three nursing diagnoses that are appropriate during Mrs. Hogan's Asthma exacerbation. a. Ineffective breathing pattern b. Ineffective air clearance c. Impaired gas exchange 8. Write three outcomes goals for Mrs. Hogan's diagnois of ineffective breathing pattern a. Mrs. Hogan's respiratory rate will be within in normal limits 12-20 breaths per minute