ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
List the assessment for AIRWAY
Patency - patent, partially obstruct or complete obstruction.
List some possible causes of airway obstructions
Tongue, Vomit, epiglottis, secretions, inflammations
List Some Airway interventions
Positioning - maintain head and neck alignment
Clear secretions - encourage airway clearance with coughing.
Promote hydration to thin secretions for expectoration.
Rationale for Airway interventions
To ensure airway of patient is patent and allow for maximum air entry
Threat to Airway patency equals.......
threat to life
List Some Breathing Assessments
Respiratory Rate
SpO2
Work of Breathing - rate, depth, pattern, accessory muscle use, cough
, Color of skin/face - pale, flushed, cyanotic.
Sentences or one-word answers-content of answers
Chest auscultation - Wheeze or crackles
List some breathing interventions
Positioning - sit the patient upright, support with pillows if required, regular turns and
repositioning
Cough Techniques - huff coughing, incentive spirometry, deep breathing techniques
Administer prescribed meds - bronchodilators (inhalers with spacer, oxygen
Anxiety Reduction - educate and reassurance to reduce Respiratory effort and SNS
response.
Ensuring Call bell is within reach to patient - reduce falls risks
Rationale for breathing interventions
To maximize air entry to enable optimal gas exchange.
List some circulation assessments
Skin Color - pale, flushed, or cyanotic