MRCP UK EXAMINATIONS

RESPIRATORY

PATIENT WITH PREVIOUS LUNG SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse evaluating discharge education for a patient with dyspnea. The nurse knows the patient has an understanding of discharge instructions when the patient states:
A
“ I will contact my doctor if I sudden pain.”
B
“ Oxygen therapy has no side effects and it will always help mybreathing.”
C
“ I won’t worry if I have skin changes, since this does not haveanything to do with my breathing.”
D
“ I will make sure to continue my schedule at home, sinceactivity is good for my breathing.”
Explanation: 

Detailed explanation-1: -Provide nonpharmacologic strategies, such as breathing techniques, positioning, distraction and diversion. Consider pharmacologic measures, such as an opioid or benzodiazepine agent, especially for palliation or breathlessness associated with anxiety or panic attack.

Detailed explanation-2: -Nurses used several signs to infer dyspnea: tachypnea, difficulty speaking, accessory muscle use, nasal flaring, and restless movements were behaviors used frequently to assess for distress; heart rate and fearful facial expression were signs used less often (Additional file 21: Figure S18).

Detailed explanation-3: -Patients who experience dyspnoea when they are walking should be encouraged to adopt a position that allows good lung expansion; for example, leaning against a wall, resting their head on raised arms or leaning over a banister.

Detailed explanation-4: -Explain the Paperwork Thoroughly. Make sure you read through the discharge paperwork with the patient and their family members to ensure they understand everything completely. Review medications. Never make assumptions. Follow Up. 29-Jul-2019

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