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Examples of how to evaluate interventions relating to impaired gas exchange due to cancer
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- Discuss nursing interventions aimed at preventing/treating respiratory problems for postoperative patients Intervention Description Rationale Deep Breathing and Coughing Oxygen Therapy Incentive Spirometry Repositioning/SplintingWhat are nursing goals for a patient with impaired gas exchange due to lung cancer. the goals must be measurable, realistic, have a time frame, client focused, and related to the diagnosis that was writtenA 12-year old boy with newly diagnosed asthma needs to learn how to control his asthma with a proper diet and medication regimen Which nurse/patient established objective most likely would assist the client in achieving the goal of controlling his asthmatic condition?
- Plan, implement, and evaluate nursing care relatedto select nursing diagnoses involving oxygenationproblems.Reference: https://www.copd.com/about-copd/what-is-copd/ 1. COPD encompasses several conditions, however, asthma is the only obstructive disease within the umbrella that can be associated with children. Do you think that because asthma is not typically associated with "smoking" that it gets special consideration in the medical field? Why or why not? 2. Many patients who have COPD continue to smoke. Based on your knowledge of the airway system, why do you think this is particularly damaging to their respiratory system? Or, do you think it matters? 3. The website mentions occupational hazards accounting for approximately 20% of COPD cases. What do you think has an effect and why? Give examples. 4. How does nutrition play a role in COPD? 5. Did any of the patient stories inspire you? What did you think of their stories? Does it change the way you feel about a "COPD-er"?Think about the priorities inherent in the basic care and comfort needs of clients. After meeting the need for oxygenation, identify and briefly discuss the following: How a change in health status would affect meeting that basic need.
- Make a nursing care plan for ineffective coping and ineffective airway clearance.Make an NCP, one actual and one potential from the nursing diagnoses given for high-risk infants: Ineffective airway clearance related to presence of mucus or amniotic fluid in airway.Concept Map which consists of: 1 nursing diagnosis 1 Goal 3 Nursing interventions with rationale evaluation Completed medication cards Mr. S.B. has been a smoker for 20 years. He has noticed increased shortness of breath (SOB) for the past week and is complaining of a productive cough with thick whitish phlegm. VSS 99.9F, 92HR, 32R, and 152/90. Pulse oximetry is 90% on room air. Medications: Prednisone 10mg orally dailyProventil MDI 180mcg. 2 puffs inhaled every 6 hours
- Discuss why the Valsalva maneuver is not recommended during exercise. Discuss what happens to the body when the breath is held during exercise. Discuss potential solutions that can be taught to clients.Think about the priorities inherent in the basic care and comfort needs of clients. After meeting the need for oxygenation, identify and briefly discuss the following: Which need is the next priority for youC.J a 49 year old construction worker is scheduled for a bronchoscopy for biopsy of a right lung session.He initially sought medical care for hemoptysis and increasing fatique.When the nurse asked him to sign the operative permit,he stated that he was not certain if he should go ahead with the procedure because he fears a diagnosis of cancer. Subjective Data Has never been hospitalized Has had no medical problems except mid obesity Has cigarette smoking history of 40 pack years Is married with two children,ages 6&8 both children have cystic fibrosis Is fearful that his wife not be able to manage without him Objective data Diagnosuic studies :chest x-ray revealed mass in upper lobe of right lung Hematrocrit:31% What factors in C.J. background or personal situation might influence his emotional response and physical reactions to this surgery? What should C.J. know if his consent for surgery is to be truly informed? Priority Decision: C.J. will be an outpatient for this…