TIna Jones Respiratory assessment Exam Question & Answers 2024, Exams of Nursing

Download TIna Jones Respiratory assessment Exam Question & Answers 2024 and more Exams Nursing in PDF only on Docsity! TIna Jones Respiratory assessment Exam Question & Answers 2024 Plan - Correct Answers ✅Encourage Ms. Jones to continue to monitor symptoms and log her episodes of asthma symptoms and wheezing with associated factors and bring log to next visit. • Obtain office oxygen saturation. • Order PFTs to be completed after exacerbation to have baseline available for future comparison. • Encourage to wash bedding and consider dust mite covers to decrease allergic nighttime symptoms. • NMT in office x 1. • Educate to increase intake of water and other fluids. • Educate Ms. Jones on when to seek emergent care including episodes of chest pain or shortness of breath unrelieved by rest, worsening asthma symptoms or wheezing, or the sense that rescue inhaler is not helping. • Revisit clinic in 2-4 weeks for follow up and evaluation. Assessment - Correct Answers ✅Asthma exacerbation Objective - Correct Answers ✅General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no acute distress. She is alert and oriented and sitting upright on exam table. She maintains eye contact throughout interview and examination. • Respiratory: Chest expansion is symmetrical with respirations. Normal fremitus, symmetric bilaterally. Chest resonant to percussion; no dullness. Bilateral expiratory wheezes in posterior lower lobes. Bilateral muffled words with notable expiratory wheezes in posterior lower lobes. No crackles. In office spirometry: FVC 1.78 FEV1/FVC ratio 87.02% SpO2: 97%. TIna Jones Respiratory assessment Exam Question & Answers 2024 Subjective - Correct Answers ✅HPI: Ms. Jones is a pleasant 28-year- old African American woman who presented to the clinic with complaints of shortness of breath and wheezing following a near asthma attack that she had two days ago. She reports that she was at her cousin's house and was exposed to cats which triggered her asthma symptoms. At the time of the incident she notes that her wheezes were a 6/10 severity and her shortness of breath was a 7-8/10 severity and lasted five minutes. She did not experience any chest pain or allergic symptoms. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Since that incident she notes that she has had 10 episodes of wheezing and has shortness of breath approximately every four hours. Her last episode of shortness of breath was this morning before coming to clinic. She notes that her current symptoms seem to be worsened by lying flat and movement and are accompanied by a non-productive cough. She awakens with night-time shortness of breath twice per night. She complains that her current symptoms are beginning to interfere with her daily activities and she is concerned that her albuterol inhaler seems to be less effective than previous. Currently she states that her breathing is normal. Diagnosed with asthma at age 2.5 years. She has no recent use of spirometry, does not use a peak flow, does not record attacks, and does not have a home nebulizer or vaporizer. She has been hospitalized five times for asthma, last at age 16. She has never been intubated for her asthma. She does not have a current pulmonologist or allergist. Social History: She is not aware of any environmental exposures or irritants at her job or home. She changes her sheets weekly and denies dust/mildew at her home. She uses a hypoallergenic pillow cover and her mattress is one yea TIna Jones Respiratory assessment Exam Question & Answers 2024 assessing which positions might cause exacerbation.Example Question:Does lying down make your asthma worse? Finding: Reports symptoms aggravated by movement Confirmed use of medications - Correct Answers ✅Finding: Confirms medications (no new medications reported) Followed up about inhaler use - Correct Answers ✅ Finding: Confirmed allergiesFinding: - Correct Answers ✅Confirms allergies (no new allergies reported) Followed up on exposure to allergy and asthma triggers - Correct Answers ✅Reports cat allergy triggered recent episodes(Found)Pro Tip: Questions about what factors might have caused an illness can point to a patient's environmental stressors, habits, and general wellbeing. Asking Tina what caused her asthma might indicate her health literacy and understanding of what factors impact her breathing.Example Question:What started your recent asthma problems? Finding: TIna Jones Respiratory assessment Exam Question & Answers 2024 Reports dust as a known trigger(Found)Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a dust allergy can reveal one such trigger.Example Question:Does being around dust trigger your asthma? Finding: Reports activity such as walking up stairs as a known trigger(Available)Pro Tip: Shortness of breath or asthma can be exercise-induced. Asking whether climbing stairs can be a trigger for Tina might reveal a possible provocation.Example Question:Does climbing stairs trigger your asthma? Finding: Denies seasonal pattern(Available)Pro Tip: Discerning what's making Tina's asthma worse can point to possible triggers like environmental factors, bodily positions, or movement that may have a bearing on Tina's breathing. Asking Tina whether she has seasonal triggers will indicate, in part, Tina's health literacy.Example Question:Do you have seasonal asthma triggers? Finding: Denies changes in weather as a trigger(Available)Pro Tip: For some patients, weather changes can be asthma irritants. Asking Tina if the weather impacts her asthma will indicate if weather is an irritant for Tina's condition.Example Question:Do changes in weather make your asthma worse? Finding: Reports minimal exposure to asthma triggers at work TIna Jones Respiratory assessment Exam Question & Answers 2024 Finding: Asked detailed questions about asthma history - Correct Answers ✅No current asthma doctor(Found)Pro Tip: Seeing a specialist, like an asthma doctor, can help patients to manage symptoms. Asking whether Tina is seeing an asthma doctor will allow you to assess her current treatment plan and healthcare access.Example Question:Do you have an asthma doctor? Finding: Diagnosed with asthma in childhood(Found)Pro Tip: By determining the onset of asthma you can get a sense for Tina's asthma history, instance, and frequency of exacerbation.Example Question:How long have you had asthma? Finding: Age of diagnosis was 2 1/2 years old Followed up about non-medication forms of asthma management - Correct Answers ✅Denies record keeping of asthma exacerbation or shortness of breath episodes(Available)Pro Tip: For some patients, keeping records of asthma exacerbation allows them to monitor their conditions. Soliciting this information from Tina will show health literacy.Example Question:Do you use a chart to monitor your asthma? Finding: Denies using peak flow meter(Available)Pro Tip: A peak flow meter measures how well a patient's lungs can expel air. By asking whether TIna Jones Respiratory assessment Exam Question & Answers 2024 Finding: Denies nausea or vomiting(Available)Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her pain, like nausea, details the way her individual symptoms and pain manifest.Example Question:Have you had nausea or vomiting? Finding: Denies chills(Available)Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her pain, like getting chills, details the way her individual symptoms and pain manifest.Example Question:Have you had chills? Finding: Reports low energy level(Available)Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her pain, like fatigue, details the way her individual symptoms and pain manifest.Example Question:Are you fatigued? Finding: Denies night sweats Asked review of systems for respiratory - Correct Answers ✅Denies phlegm or sputum(Found)Pro Tip: A productive asthma cough can expel sputum from the lungs. By asking whether Tina has been coughing up phlegm or sputum you are discovering the nature of Tina's cough since exacerbation.Example Question:Have you been coughing anything up? Finding: TIna Jones Respiratory assessment Exam Question & Answers 2024 Denies sore throat, swelling, or difficulty swallowing(Available)Pro Tip: Difficulty swallowing could indicate a more severe allergic reaction, or a physical problem with the throat.Example Question:Do you have any problems swallowing? Finding: Denies nasal drainage Asked about relevant family history - Correct Answers ✅