Author Question: A patient with emphysema presents to the emergency room with severe dyspnea; O2 saturation is 74, ... (Read 94 times)

NguyenJ · **on:** Jun 25, 2018

A patient with emphysema presents to the emergency room with severe dyspnea; O2 saturation is 74, pulse is 120, and respirations are 26 . The nurse positions the patient in high Fowler. What action should the nurse take next?

a. Collect a sputum specimen.
b. Coach the patient in pursed-lip breathing.
c. Give oxygen at 5 L/min by nasal cannula.
d. Ensure patent intravenous (IV) access.

Question 2

The nurse is caring for a 40-year-old patient. How often should the nurse recommend that this patient undergo testing for glaucoma?

a. Yearly
b. Every 2 to 3 years
c. Every 5 years
d. Every 10 years

epscape · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Coaching in pursed-lip breathing will open the respiratory tree with negative pressure. Oxygen given at such a high concentration will cause an emphysemic patient to stop breathing. Collecting a sputum specimen and ensuring patent IV access are appropriate interventions that should be performed after the patient's dyspnea is addressed.

Answer to Question 2

C
Glaucoma testing should be done every 2 to 3 years for people over age 40.