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Adult Health 1 Respiratory System

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Establish a communication mechanism w/the client Keep airway clear by coughing and suctioning When examining a client with emphysema, what physical findings is the nurse likely to see? Barrel chest cough (dry or productive) decreased breath sounds dyspnea crackles in lung fields What is the most common risk factor associated with lung cancer? smoking Describe the preoperative nursing care for a client undergoing a laryngectomy. -Involve family and client in teaching on tracheostomy equipment -plan acceptable means of communication methods

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Adult Health 1 Respiratory System


List four common symptoms of pneumonia a nurse might note on physical examination

Tachypnea

Fever with chills

Productive cough

Bronchial breath sounds



State four nursing interventions for assisting a patient to cough productively

Encourage deep breathing

Increase fluid intake to 3L/day

Use humidity to loosen secretions

Suction airway to stimulate coughing



What symptoms would you expect to see in an older adult with pneumonia?

Lethargy

Confusion

anorexia

rapid respiratory rate



What should the O2 flow rate be for the client with COPD?

Between 1-2L per nasal cannula; too much O2 may eliminate the COPD patient's stimulus to breathe. A
COPD client has a hypoxic drive to breathe.



How does the nurse prevent hypoxia during suctioning?

Delivering 100% O2 (hyperinflating) before and after each endotracheal suctioning.



During mechanical ventilation, what are three major nursing interventions?

Monitor client's respiratory status & secure connections

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