Hi there im a student and i don't know if i am posting this in the correct place but i was wondering if anyone would be kind enough and offer a few pointers on a possible exam question..
Q) Discuss the immediate nursing care required for the care of a COPD patient who has been admitted with breathlessness etc..
So far, i have said do an overall assessment such as airway (try to maintain airway by sitting patient upright), observe breathing and encourage pursing of lips and slow breaths. Take temperature to obtain whether the patient has a possible chest infection (observe any evidence of sputum). Commence oxygen therapy if sats are below a certain level.. (This is where i am stuck as i am unsure what sort of oxygen therapy would be best)
I am presuming that this is a NCLEX test question... your priority nursing intervention is 2-3 L/M O2 via NC.
One of the above posters is correct that O2 is a drug, which requires a physicians order to administer. However (in the realm of the NCLEX) if you selected notify the physician (to obtain an order), you would get this question wrong as you are delaying care.
Additionally, you must auscultate the patient to ensure that adequate ventilation is present.
COPD pt's will tend to run on the HTN side of the house due to chronic arteriolar vasoconstriction, along with concurrent pulmonary HTN.
Last edit by medicmatt44 on Jan 3, '13
: Reason: more info required