QUESTIONS AND DETAILED NURSING SKILLS
BREAKDOWN FULL REVIEW
◉ Asthma. Answer: -a chronic or long term, condition that
intermittently inflames and narrows the airways in the lungs
◉ goal of asthma management. Answer: - to achieve control with an
asthma action plan, may include monitoring, avoiding triggers, and
using medicines
◉ interventions with patients that have difficulty with their
oxygenation status. Answer: -positioning; 45-90 degrees, high
fowlers
◉ deep breathing. Answer: -opens air passage
-increases lung volume
-in through the nose and out through the mouth (have them do it
with you)
◉ Coughing (huff cough). Answer: -mobilizes secretions- decrease
the risk for pneumonia
-clears airway
,-promotes lung expansion and gas exchange
-deep breath in and then a forced huff or cough
◉ when is the best time for a sputum sample. Answer: in the
morning when they have just woken up
◉ diaphragmatic breathing. Answer: a relaxation technique used to
relieve anxiety
-inhale belly out
-exhale belly in
◉ Pursed lip breathing. Answer: -in through nose, out through
mouth
-more concentrated
-breathe through pursed lips like blowing through a straw
** need to do this after using a puffer
◉ Incentive Spirometry steps?. Answer: -sit in semi fowlers or high
fowlers
-set on device scale volume to be attained with each other
-mouthpiece in mouth and seal lips tightly around
-breathe in slowly and deeply-piston/ball rises to top of column
-encourage pt to reach goal volume
, -hold breath for 2-3 seconds then exhale slowly
-allow piston to fall to bottom of column, remove from mouth and
exhale
-rest for a few seconds
-repeat
◉ incentive spirometry. Answer: -promotes deep breathing, prevent
or treat atelectasis
-promotes lung expansion
-prevents pulmonary complications
◉ postural drainage. Answer: -position them in a specific way so
that the fluid moves
-depends on what specific lobe the fluid is in
-proper hydration is very important as it helps to thin out the
sputum
◉ Chest percussion and vibration. Answer: Used to help loosen
secretions.
Should be done for 1-2 minutes in each position.
Vibration may be done manually or by a mechanical device.
Vibration should be done for 5-10 breaths over each lung area.