Nursing the person with deteriorating health

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1. Following chest auscultation an asthmatic patient is found to have a “silent chest”. Which of the following statements is correct?

  • This is a normal clinical finding in asthmatic patients
  • The patient needs to measure a peak flow and to step up medication in line with their asthma plan
  • It indicates the patient’s asthma attack is of life threatening severity
  • Silent chest indicates the bronchospasm has resolved and the patient is probably improving
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Other questions in this quiz

2. Calculate the MAP for a BP of 130/70.

  • 80
  • 70
  • 90
  • 60

3. A patient with a chronic respiratory condition has a respiratory rate 28 of breaths a minute. His PO2 is below 8 kPa and the PCO2 is above 6.5 kPa. His C02 level is continuing to rise. What is the most appropriate therapy for this patient?

  • No action is required: you should wait and see if the patient deteriorate further.
  • Non invasive positive pressure ventilation using a face mask
  • Positive pressure ventilation using a ventilator
  • Ventilation using a bag valve mask

4. During shock cells produce energy by which method?

  • Simple diffusion
  • Aerobic metabolism
  • Anaerobic metabolism
  • Cellular transport

5. Which one of the following breathing patterns can be seen in a patient with a completely obstructed airway?

  • Orthopnoea
  • See-saw
  • Kussmaul
  • Cheyne-stoke

Comments

Dr Peter Yegon

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Nursing a person with deteriorating health requires compassion, timely intervention, continuous monitoring, and personalized care to improve comfort and quality of life.

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