Question

Allment The main focus of this presentation is on the respiratory system. You will be response completing a respiratory assessment on your classmate related to the case study describe Case study: a to the case study described below. The nurse is caring for a patient who is coughing up greenish-yellow sputum. The patica complaining of shortness of breath. The nurse found the patient to have decreased breath on the right side. Subjective data: (what types of questions would you ask?) much sputun! e a cough? Who did it start? How When did shortness of bro all of breath Start? what brings it on? How cod? what brin Severe is it? Is it Affected by your position? Point Chest pain with breathing occurs? Constant or does it come and go! Deseror the pain: burning, Stäbbing? Any smoking history? At what cae did you Start Objective data: (what would you assess?) Shape + Configuration of the chest Wall, Assess the long field. Evaluate the breath sounds inspect the note Anterior chest the shape + Configuration. Additional questions: How would the nurse position the patient to perform this assessment? Due to the decreased breath sounds on the right, the nurse should perform what additional aspects of the respiratory assessment? When percussing the patient's chest, what sounds should the nurse expect to document? What is an appropriate nursing diagnosis for this patient? What type of respiratory condition do you believe this client is experiencing? Adapted from Hogan, MA, & Ricci, MJ. (2011). Heath and physical assessment Reviews and nationales. Upper Saddle River, NJ Pearson Education, Inc JB/2014

Answer 1

1.upright position

2. percusion should be done to find outwhether air filled,fluid or solid

palpation to assess the symmetry, synchrony and volume of breath,also assess for laboured breathing and adventitious breath sound.

3. Ineffective airway clearance due to pooling of secreation

4. Right sided pneumonia