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COPD Patient Care Evaluation
8 Questions
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COPD Patient Care Evaluation

Created by
@RevolutionaryDulcimer

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Questions and Answers

What should be done first when working with a new patient in the pulmonary care unit?

  • Interview the patient
  • Review the medical chart (correct)
  • Order appropriate lab testing
  • Discuss the patient condition with the nurse
  • Verify patient ID
  • During an initial assessment of a COPD patient, which of the following should be evaluated?

  • Arterial blood gas
  • Vital signs (correct)
  • Chest radiograph (correct)
  • General appearance (correct)
  • Height and weight
  • How would you interpret the arterial blood gas?

  • Compensated respiratory acidosis with moderate hypoxemia (correct)
  • Uncompensated respiratory acidosis with mild hypoxemia
  • Uncompensated mixed acidosis with mild hypoxemia
  • Uncompensated metabolic acidosis with mild hypoxemia
  • Compensated metabolic acidosis with moderate hypoxemia
  • What oxygen therapy would you suggest to assist the patient at this time?

    <p>28% oxygen therapy via heated aerosol mask</p> Signup and view all the answers

    Which additional therapy would benefit the patient?

    <p>Bronchial hygiene therapy</p> Signup and view all the answers

    What should you evaluate four hours after therapy was initiated?

    <p>Chest movement</p> Signup and view all the answers

    What therapy should be added to the patient's care plan?

    <p>Intermittent positive pressure breathing</p> Signup and view all the answers

    How should you respond to a patient complaining about being treated by a student?

    <p>Contact your instructor</p> Signup and view all the answers

    Study Notes

    Patient Overview

    • Inowana Newby, a 47-year-old female, diagnosed with COPD two years prior.
    • Admitted to the pulmonary care unit due to an episode of extreme shortness of breath.

    Initial Actions

    • First step should be to review the medical chart to gather patient history and treatment details.
    • Assessment should include evaluating general appearance, vital signs, and chest auscultation.

    Arterial Blood Gas Interpretation

    • The interpretation of the arterial blood gas shows compensated respiratory acidosis with moderate hypoxemia.

    Oxygen Therapy Recommendations

    • Recommend 28% oxygen therapy via heated aerosol mask to assist the patient.

    Additional Therapies

    • Suggest bronchial hygiene therapy as a beneficial addition to the patient's treatment plan.

    Patient Evaluation After Therapy

    • After four hours post-therapy, evaluate:
      • General appearance
      • Blood pressure
      • Color
      • Extremities
      • Chest movement
      • Auscultation
      • Vital signs
      • 12 Lead ECG
      • Arterial blood gas

    Suggested Care Plan Modifications

    • Recommend adding intermittent positive pressure breathing to the care plan for enhanced respiratory support.

    Patient Interaction

    • If the patient expresses discomfort with being treated by a student, the correct response is to contact your instructor for guidance and support.

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    Quiz Team

    Description

    This quiz assesses your knowledge on managing a COPD patient, focusing on initial actions, arterial blood gas interpretation, and oxygen therapy recommendations. It includes patient evaluation techniques post-therapy to ensure effective care.

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