NUR 330: EXAM 3 REVIEW QUESTIONS AND VERIFIED ANSWERS

NUR 330: EXAM 3 REVIEW
QUESTIONS AND VERIFIED
ANSWERS
KnowA2howA2toA2instructA2aA2pt.A2toA2useA2aA2meteredA2doseA2inhalerA2(MDI)A2-A2Ans--
1.A2TakeA2capA2offA2andA2shakeA2inhaler
2.A2BreatheA2outA2allA2theA2way
3.A2HoldA2theA2inhalerA2theA2wayA2yourA2docA2said:A2A)A21-
2A2inchesA2inA2frontA2ofA2yourA2mouthA2B)A2UseA2spacer/
holdingA2chamberA2C)A2PutA2theA2inhalerA2inA2yourA2mouth,A2youA2willA2seeA2aA2lotA2ofA2pe
opleA2doA2this
4.A2BreatheA2inA2slowly:A2asA2youA2startA2breathingA2inA2slowly,A2throughA2yourA2mouth,A2p
ressA2downA2onA2theA2inhalerA2oneA2time.A2KeepA2breathingA2inA2slowly,A2asA2deeplyA2asA2
youA2can
5.A2HoldA2youA2breathA2asA2youA2countA2toA210A2slowly,A2ifA2youA2can.A2ForA2inhaledA2quic
k-
reliefA2medsA2waitA2aboutA2oneA2minuteA2betweenA2puffsA2ifA2itA2isA2NOTA2aA2quickA2reliefA
2med.A2RinseA2mouthA2afterA2inhalingA2aA2steroidA2orA2couldA2causeA2thrushA2(aA2yeastA2in
fectionA2inA2theA2mouthA2identifiedA2byA2whileA2painfulA2patches)
6.A2CleanA2MDIA2PRNA2withA2hotA2waterA2only.A2DryA2overnight
7.A2KnowA2whenA2itA2willA2runA2out.A2MostA2MDIsA2haveA2200A2puffs.A2IfA2youA2areA2toA2tak
eA28A2puffsA2perA2day,A2divideA2thisA2byA2theA2numberA2ofA2puffsA2inA2theA2inhalerA2(200/8=
25).A2YouA2willA2haveA225A2daysA2toA2useA2thisA2inhaler.A2writeA2theA2datesA2onA2theA2cani
sterA2inA2whichA2itA2willA2runA2out.

KnowA2whatA2toA2teachA2ptA2aboutA2aA2pulmonaryA2functionA2testA2(PFT)A2andA2whatA2toA2i
nstructA2themA2forA2theA2test.A2-A2Ans--
Teach:A2ItA2isA2usedA2toA2evaluateA2lungA2function.A2ItA2involvesA2theA2useA2ofA2spirometer
A2toA2assessA2airA2movementA2asA2pt.A2performsA2prescribedA2respiratoryA2maneuvers.


Instruct:A2AvoidA2schedulingA2immediatelyA2afterA2mealA2time.A2AvoidA2administrationA2ofA
2inhaledA2bronchodilatorA26A2hoursA2beforeA2procedure.A2ExplainA2procedureA2toA2pt.A2As
sessA2forA2resp.A2distressA2beforeA2procedureA2andA2report.A2ProvideA2restA2afterA2theA2pr
ocedure

HowA2toA2findA2yourA2personalA2bestA2peakA2flowA2number...A2-A2Ans---
A2TheA2highestA2peakA2flowA2numberA2youA2canA2achieveA2overA2aA22A2weekA2periodA2whe
nA2asthmaA2isA2underA2control
-
A2BecauseA2eachA2pt.A2asthmaA2isA2different,A2eachA2pt.A2PEFA2mayA2beA2higherA2orA2low
erA2thanA2theA2PEFA2ofA2anotherA2pt.A2similarA2toA2bodyA2weightA2andA2height.
-A2ToA2findA2theA2bestA2peakA2flowA2number:
*A2DoA2atA2leastA22x/dayA2forA22-3A2weeks

,*A2WhenA2youA2wakeA2upA2&A2inA2laterA2afternoonA2orA2earlyA2evening
*A215-20A2minutesA2afterA2takingA2inhaledA2shortA2actingA2beta2-agonistA2forA2quickA2relief
*A2AsA2instructedA2byA2healthA2careA2provider

WhatA2toA2doA2forA2aA2patientA2onceA2youA2knowA2theirA2peakA2flowA2number...A2-A2Ans---
A2LetA2yourA2healthA2careA2providerA2know
-A2TheyA2willA2giveA2youA2theA2number'sA2thatA2willA2tellA2pt.A2whatA2toA2do
-
A2TheA2peakA2flowA2numbersA2areA2putA2intoA2zoneA2setA2upA2likeA2trafficA2lights,A2thatA2hel
pA2youA2knowA2whatA2toA2doA2whenA2yourA2peakA2flowA2numberA2changes...

PeakA2flowA2number:A2GreenA2ZoneA2-A2Ans--
80%A2ofA2yourA2personalA2bestA2numbersA2signalsA2goodA2control.A2NoA2asthmaA2sympto
msA2present.A2TakeA2yourA2medicationsA2asA2usual

PeakA2flowA2number:A2YellowA2ZoneA2-A2Ans--
50%A2toA2lessA2thanA280%A2ofA2yourA2personalA2numberA2signalsA2caution.A2IfA2remainA2in
A2thisA2zoneA2afterA2severalA2measuresA2ofA2peakA2flow,A2takeA2inhaledA2short-
actingA2betaA22A2agonist.A2

IfA2continueA2inA2yellowA2zone,A2asthmaA2mayA2notA2beA2underA2goodA2control.A2AskA2doct
orA2ifA2needA2toA2changeA2orA2increaseA2yourA2patient'sA2dailyA2medications

PeakA2flowA2number:A2RedA2zoneA2-A2Ans--
LesA2thanA250%A2ofA2yourA2personalA2bestA2numbersA2signalsA2aA2medicalA2alert.A2YouA2
MUSTA2takeA2anA2inhaledA2shortA2actingA2betaA22A2agonistA2immediately.

CallA2healthA2careA2providerA2orA2EDA2&A2askA2whatA2toA2do,A2orA2goA2directlyA2toA2hospital
A2ED


ActionsA2toA2takeA2whenA2PeakA2FlowA2NumbersA2changeA2-A2Ans--
PEFA2goesA2betweenA2____L/minA2andA2____A2L/
minA2(50%A2lessA2thanA280%A2ofA2personalA2best,A2yellowA2zone)
ACTION:A2takeA2inhaledA2shortA2actingA2betaA22A2agonistA2asA2prescribedA2byA2yourA2doct
or

PEFA2increasesA220%A2orA2moreA2whenA2measuredA2beforeA2&A2afterA2takingA2anA2inhale
dA2short-actingA2betaA22A2agonist
ACTION:A2TalkA2toA2yourA2doctorA2aboutA2addingA2moreA2medicineA2toA2controlA2yourA2ast
hmaA2better

WhatA2shouldA2nursesA2teachA2patientsA2withA2asthma..A2-A2Ans---A2WhatA2isA2asthma
-A2WhatA2isA2goodA2asthmaA2control
-A2Environmental/A2triggerA2control
-A2Medications
-A2HowA2toA2useA2anA2inhaler,A2spacer,A2nebulizer

, -A2BreathingA2techniques
-A2CorrectA2useA2ofA2peakA2flowA2meter
-A2AsthmaA2actionA2plan

Asthma:A2SubjectiveA2DataA2-A2Ans--Past-
A2AllergicA2reactions,A2sinusA2issues,A2previousA2sinusA2attacksA2&A2hospitalizations,A2Ga
stroesophagealA2reflux,A2OccupationalA2exposuresA2toA2chemicalA2irritants

Medications-
A2Adherence,A2inhalerA2technique,A2medsA2thatA2mayA2precipitateA2attackA2inA2susceptible
A2asthmaticsA2


Activity-A2exercise;A2fatigue;A2decreasedA2orA2absentA2exerciseA2tolerance

Sleep-
A2rest:A2awakenA2fromA2sleepA2dueA2toA2coughA2orA2breathingA2problems;A2insomnia


Coping-
A2stressA2tolerance:A2emotionalA2distress,A2stressA2inA2workA2environmentA2orA2home


NursingA2DiagnosisA2froA2AsthmaA2-A2Ans---A2IneffectiveA2airwayA2clearance
-A2Anxiety
-A2DeficientA2knowledge

ABGA2NormalA2ValuesA2-A2Ans--pH:A27.35A2-A27.45
pCO2:A235-45A2mmHg
HCO3-:A222-A226A2mEq/L
PaO2:A280-100A2mmHg
SaO2:A2>95%

HowA2toA2recognizeA2respiratoryA2acidosisA2-A2Ans--pHA2<7.35
PaCO2A2>45

KnowA2theA2valuesA2ofA2PaO2A2toA2identifyA2ifA2hypoxiaA2isA2anA2issue...A2-A2Ans--
TwoA2bestA2indicatorsA2isA2SATSA2>90A2(toA2preventA2hypoxia)A2andA2ABGs

PaO2A2aboveA280A2toA2preventA2hypoxia

KnowA2theA2importanceA2ofA2pursedA2lipA2breathingA2-A2Ans--
BreathingA2exercisesA2mayA2assistA2patientA2duringA2restA2andA2activityA2by:
-A2DecreasingA2dyspnea
-A2ImprovingA2oxygenation
-A2SlowingA2theA2respiratoryA2rate

HowA2toA2teachA2patientA2pursedA2lipA2breathingA2andA2whenA2-A2Ans--
SmellA2theA2roses;A2blowA2outA2theA2candles