Nr305 Week 5: Assessment of Respiratory Status
Nr305 Week 5: Assessment. This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO3 Utilize effective communication when performing a health assessment. (PO 3)
CO4 Identify teaching/learning needs from the health history of an individual. (PO 2)
Please review the video above as it will provide you with an opportunity to immerse yourself in the role of a nurse addressing tobacco use during routine patient care. Click to review a transcript (Links to an external site.)Links to an external site. of this recording.
While viewing, reflect on what you have learned about tobacco use and the role that nurses and other interdisciplinary team members play in helping to assist tobacco users with quitting. While viewing, it is also important to keep in mind that tobacco users move through stages of change in the process of quitting. They move from pre-contemplation to contemplation, contemplation to preparation; preparation to abstinence; abstinence to maintenance. Every stage requires a different strategy by a nurse.
After watching the video, and reflecting on the information presented, address each of the following questions.
What are the common symptoms associated with an exacerbation of COPD?
What assessment techniques will you use to assess Mary?
Identify smoking strategies that would be appropriate for each of the encounters that Mary had with the nurse throughout the video that could have been used to assist Mary in quitting smoking.
Find a resource in your community that could assist Mary. Start by searching the Internet for your local health department’s website. What services are available to Mary? Briefly describe the services that the state quit line provides. Does it meet the 4 As? Is it accessible, acceptable, affordable, or available for Mary?
What will you do to follow-up on Mary’s smoking cessation process?Nr305 Week 5: Assessment
Nr305 Week 5: Assessment Answer
Common symptoms indicative of an exacerbation of COPD encompass a range of manifestations such as dyspnea, fatigue, cough, sputum production, wheezing, chest tightness, sleep disturbances, and weight loss, as highlighted by Kornuski and Oji (2018).
In the assessment of Mary, a systematic approach is essential to gain a comprehensive understanding of her condition. Beginning with a thorough inquiry into her symptoms, I would explore the frequency and aggravating or alleviating factors associated with shortness of breath, cough, and sputum production. Following this, a comprehensive set of vital signs, including heart rate, respiratory rate, blood pressure, and oxygen saturation, would be obtained to gauge the physiological aspects of her condition.Nr305 Week 5: Assessment
To delve further into the respiratory assessment, I would employ the techniques recommended by Jarvis (2016), involving the inspection, palpation, percussion, and auscultation of the posterior and lateral thorax. Subsequently, I would repeat these maneuvers on the anterior chest, ensuring a holistic evaluation of Mary’s respiratory status.Nr305 Week 5: Assessment
Throughout the video encounters with Mary, strategic moments emerged where smoking cessation interventions could have been effectively employed. These include instances when Mary expressed her concerns about the impact of smoking on her health. Utilizing motivational interviewing techniques and providing tailored information on smoking cessation methods during these encounters would have been appropriate strategies to assist Mary in quitting smoking. Empowering Mary with personalized resources and support aligns with evidence-based approaches to smoking cessation (Fiore et al., 2008). These strategies could contribute to enhancing Mary’s motivation and readiness to quit smoking, promoting better respiratory health and overall well-being.
