PILAR COLLEGE OF ZAMBOANGA CITY, INC. R.T. Lim Boulevard, Zamboanga City Tertiary Education Department Nursing Program A.Y 2022 – 2023 NCM 112 ACTIVITY 1 PONDER QUESTIONS 1-5 EXERCISE 1&2 Submitted by: Jarawi, Annaluiza BSN 3A Submitted to: Kate Alegre, RN Clinical Instructor Questions to Ponder #1: Give your best answers. Share your answers with the class. 1. Why should the nurse avoid giving antitussive agents to clients with a head injury? Because: Antitussive drugs depresses the cough reflex at the center of the brain and may cause increased pressure to the patient who has head injury that may lead to vomiting and nausea. 2. Why are some bronchodilators administered with food and some are not? Because: some bronchodilator causes gastric irritation like xanthine which increases diaphragmatic contractility and need to be administer with food same with the steroid that which may cause stomach irritation and needs to take with food or milk. For albuterol it must not be take with food since it is an inhaler type which may cause obstruction when food is taken 3. Why are opioids regulated? Because: the misuse of opioids can lead to addiction, which is extremely risky since high dose of opioids can harm a person's health, leading to hypoxia and rapid heart rate that may lead death and that is why it needs to be regulated. Questions to Ponder #2: Give your best answers. Share your answers with the class. 1. Why should the nurse instruct the patient to avoid coughing or clearing the throat following a bronchoscopy? Because: there is a possibility that a blood clot that has formed during the procedure could dislodge and can cause bleeding 2. Why is chest radiography required pre- and post-thoracentesis? Because: for us to determine whether or not there was any remaining pleural fluid and to look for other abnormalities or aberration that were previously concealed by pleural effusion. 3. Why is continuous bubbling in the water-seal drainage bottle not a good sign? Because: there is an air leak and causes an increase in pleural pressure and a reduction in airflow and lung volume. Questions to Ponder #3: Give your best answers. Share your answers with the class. 1. What measures could the nurse provide to help a patient who is on voice rest? • Encourage patient to drink plenty amount of water • Avoid the patient to eat sweet and spicy food • Advise patient to avoid clearing his throat as well as coughing • Advise patient to talk or speak in a soft tone • If patient is smoking, encourage him or her to stop from smoking • Advise patient to not exert effort when talking 2. How may the nurse promote the nutritional well-being of a patient with odynophagia/dysphagia secondary to pharyngitis? • Advise patient to eat food that are soft or moist • Allow patient to chew and swallow the food slowly • Encourage client to drink warm water and avoid drinks that are carbonated • Educate the patient to avoid eating food that is sour, spicy and sweet • When eating advise patient to position in high fowler or upright position • Feed the patient with small portion food to avoid exhaustion while eating Questions to Ponder #4: Give your best answers. Share your answers with the class. 1. What is the significance of classifying pneumonia based on how it is acquired? It is essential to determine how pneumonia was acquired to render the proper treatment base on its classification. We have four pneumonia classifications: CommunityAcquired Pneumonia, Hospital Acquired Pneumonia, Ventilator Acquired Pneumonia, and Hospital Care Associate Pneumonia, which is a complicated classification of pneumonia to treat. 2. Why should nurses emphasize to patients with tuberculosis to comply with the multi-drug therapy Because multi-drug therapy could help them better in treatment since there are bacteria that is resistant to one or more drugs. So, to provide a proper care, we must emphasize its importance why multi-drug therapy is needed. Pyrazinamide, Ethambutol and Isoniazid are some of the drugs that can be use in this treatment. Question to Ponder #5: Give your best answers. Share your answers with the class. 1. What is the significance of setting IATF-EID protocols in terms of CoViD – 19 pandemics? The IATF-EID, or the Inter-Agency Task Force for the Management of Emerging Infectious Diseases, helps monitor the covid cases in our country, the Philippines. It also not just monitors the infectious disease, the coronavirus but it also controls to prevent the disease massively spread that could affect various amount of people’s lives. Brain Exercise # 1: Test Yourself! Direction: Supply the correct answer on the answer sheet attached. Use BIG BOLD LETTERS. Use permanent blue/black ink. Any form of alteration is not accepted. PAROXYSMAL NOCTURNAL DYSPNEA 1. This refers to difficulty of breathing when in a lying position. 500 ML 2. This is the normal tidal volume (measured in mL) for most adults. INTERNAL RESPIRATION 3. This refers to the gas exchange between the lungs and blood and between the blood and tissues. PNEUMOTHORAX 4. This fatal condition occurs when the lung collapses, resulting in labored breathing. ALVEOLI 5. In which specific structure does gas exchange take place in the respiratory process? PULMONARY EDEMA 6. This condition occurs with rapid accumulation of fluid in the alveolar spaces. OPEN PNEUMOTHORAX 7. This type of pneumothorax is also known as sucking chest wound. PULSE OXIMETER 8. This device is used to monitor the pulse rate and oxygen saturation. PULMONARY ARTERY 9. These components are responsible to take up oxygen as it enters the lung capillaries. DEEP VEIN THROMBOSIS 10. This is a steady clot in the vein that often forms from blood or fat components. Exercise # 2: Test Yourself Direction: Supply the correct answer on the answer sheet attached. Use BIG BOLD LETTERS. Use permanent blue/black ink. Any form of alteration is not accepted. Scenario: 53-year-old Mr. Tebee Hoon is admitted in the respiratory unit for thoracentesis. Mr. Hoon claimed that he had been having shortness of breath and chronic cough that caused him to seek medical assistance. Mr. Hoon works in a construction company as an electrician and carpenter. Accordingly, he is a cigarette smoker since he was 22 years old. He seldom drinks alcohol. He has a history of asthma with his last attack 2 years ago. He has no history of any surgery. Questions 1 – 5 refer to this case. UPRIGHT POSITION 1. Mr. Hoon should be placed in which ideal position for the procedure? INSTRUCT PATIENT TO BREATH DEEPLY AND AVOID COUGHING 2. What should the nurse instruct Mr. Hoon about his breathing during the procedure? THE STABILITY OF VITAL SIGNS 3. What should the nurse PRIMARILY check during the immediate post thoracentesis period for Mr. Hoon? 2ND – 3RD INTERCOSTAL SPACE 4. The nurse expects the physician to use which specific site for needle insertion during a thoracentesis? WHEEZING 5. Mr. Hoon manifests high-pitched, whistling sounds during exhalation. The nurse should document which breathing sound finding in her notes? ACUTE RESPIRATORY DISTRESS SYNDROME 6. Confusion is usually manifested as a very late symptom of which most common respiratory complication? CHRONIC OBSTRUCTIVE PULMONARY DISEASE 7. Emphysema is likely present in the case of Mr. Ace. The nurse understands that this chest configuration with thoracic assessment is common with the case. CHRONIC BRONCHITIS 8. Expansion of the bronchi and bronchioles due to chronic couch likely occurs with which condition? TIDAL VOLUME 9. This refers to the volume of air inspired or expired with each normal breath plus the extra volume of air that can be inspired over & beyond. HEMOPTYSIS 10. A patient gives out blood-tinged sputum when coughing. The nurse shall document what specific symptom in her notes?
