Author Question: Brandy is a 57-year-old patient with COPD. She has been admitted to the pulmonary unit of the ... (Read 27 times)

darbym82 · **on:** Jul 22, 2018

Brandy is a 57-year-old patient with COPD. She has been admitted to the pulmonary unit of the hospital with right lower lobe pneumonia. Diane is the nurse caring for Brandy and notes that she has a respiration of 18 with retractions.

Brandy complains of dyspnea. Diane knows that this is a clinical sign of which of the following? A. Hypercapnia
B. Orthopnea
C. Hemoptysis
D. Hypoxia

Question 2

A 47-year-old postsurgical patient is being taught about wound care before being discharged from the hospital. She is in a semiprivate room with another patient who is upset with a family member and is crying.

The television is on to try to provide some distraction from the roommate, and her husband has just arrived to pick her up from the hospital. Which of the following should the nurse do to best facilitate her patient education? A. Explain to the patient that everything she needs to know is on the handout she has been given.
B. Take the patient to a quiet area to do the patient teaching.
C. Ask the roommate to please be considerate of the patient because she is receiving her patient education.
D. Request that a home health nurse follow up with the patient at home to teach her about wound care.

DHRUVSHAH · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Dyspnea is the subjective sensation of breathlessness as perceived by the patient. It is a clinical sign of hypoxia. Dyspnea is associated with symptoms such as exaggerated respiratory effort, use of the accessory muscles of respiration, nasal flaring, and marked increases in the rate and depth of respirations.

Answer to Question 2

B
Before learning anything, patients must be able to pay attention to or concentrate on the information they will learn. Physical discomfort, anxiety, and environmental distractions make it more difficult for a patient to concentrate.