NSE 22A/B Midterm: Midterm Review
22 Oct 2016
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Discuss application of nursing process to patients with compromised oxygenation. Evaluate chest pain location, duration, radiation and frequency. Fatigue can be a sign of worsening of the chronic underlying process, rate patients fatigue on 1-10 scale. Note history of smoking including years smoked and packs per day. Dyspnea is felt as shortness of breath or uncomfortable breathing and can present even without any activity. Visual analogue scale can help patients assess their dyspnea. Determine under what circumstances the dyspnea occurs. Orthopnea is an abnormal condition in which one must use multiple pillows when lying down or must lean forward to breathe. Coughing in patients with sinusitis clears the airway of mucus/sputum - collect data about sputum and ask patient to produce sputum for further evaluation. Wheezing can be present in those with asthma, acute bronchitis, pneumonia. Determine environmental factors such as inhaled substances in workplace or home, etc.
