5.15 Learning Activities
Light Bulb Moment
Let’s apply what you have learned in the respiratory unit.
Case Study 1 Asthma Scenario
An adult client presents to the emergency department with complaints of shortness of breath and increased work of breathing. The client is alert and oriented times 3; skin is pink, warm and dry; BP 148/88; T 98; P92; R 24; and pulse oximetry 91% on room air. Assessment of the lung reveals expiratory wheezing throughout the lung fields. The client has a past medical history of asthma, hypertension, and diabetes.
- The nurse anticipates which of the following medications will be initially administered to the client?
a) Theophylline
b) Montelukast
c) Albuterol
d) Salmeterol
2. List the steps the nurse should take to safely administer the medication.
3. What assessments should the nurse plan to complete after administering the medication?
4. The nurse plans on teaching the client about using the albuterol inhaler at home. What information should be included?
5. What is the best method for the nurse to use to ensure that the client is correctly using an inhaler?
Case Study 2 Allergy Scenario
A pediatric client presents to the emergency department with complaints of shortness of breath, increased work of breathing, and a cough. The client is alert and oriented times 3; skin is pink, warm and dry; BP 112/68; T 99; P106; R 32; and pulse oximetry 90% on room air. Assessment of the lung sounds reveals diminished lung sounds throughout all lung fields. The client has a past medical history of peanut allergy. The mother tells you that they were at a birthday party and after consumption of a cupcake, the symptoms started.
- The nurse anticipates that which of the following medications will be likely ordered for this client?
a) Diphenhydramine
b) Epinephrine
c) Cetirizine
d) Guaifenesin
Case Study 3 Rheumatoid Arthritis Scenario
A 67-year-old female client diagnosed with rheumatoid arthritis and type 2 diabetes has been prescribed prednisone for the management of her symptoms. She has been taking prednisone 10mg daily for the past two weeks. The client is complaining of insomnia, increased thirst, and weight gain.
- What are the common side effects of prednisone use?
- How can the nurse help manage the client’s insomnia?
- What measures can be taken to help the client manage her increased thirst?
- What teaching should the nurse provide the client regarding prednisone use?
Note: Answers to the Light Bulb Moment can be found in the “Answer Key” section at the end of the book.
Interactive Activity
“Respiratory Medication Quiz” by E. Christman for Open RN is licensed under CC BY 4.0
Interactive Activity
“Respiratory Flashcards” by E. Christman for Open RN is licensed under CC BY 4.0
Interactive Activity
“Respiratory Branching Scenario” by E. Christman for Open RN is licensed under CC BY 4.0[1]
Test your clinical judgment with this NCLEX Next Generation-style bowtie question: Respiratory Assignment 1.[2]
Test your clinical judgment with this NCLEX Next Generation-style bowtie question: Respiratory Assignment 2.[3]
- “301317.png” by oksmith is in the Public Domain, “Learning-3245793_960_720.jpg” by harishs is licensed under CC0, “Asthma-MA.jpg” by ARISE Project is licensed under CC BY 4.0, Open RN Project. (2020, January 14). Clinic handoff video captioned 0153 [Video]. YouTube. Licensed under CC BY 4.0. https://youtu.be/VsiQ6s_deiw, Open RN Project. (2020, January 14). Patient video captioned 0156 [Video]. YouTube. Licensed under CC BY 4.0. https://youtu.be/EE7Jifu5T-w, “Stethoscope-2.png” by Sonarpulse is in the Public Domain, “Posterior Left Lower Lung - 00329.JPG” by ARISE Project is licensed under CC BY 4.0, “Posterior Right Upper Lung - 00328.JPG” by ARISE Project is licensed under CC BY 4.0, “Ehr-1476525_960_720.png” by mcmurryjulie is licensed under CC0, “Peak Flow - 2047.JPG” by ARISE Project is licensed under CC BY 4.0, Open RN Project. (2020, January 14). Inhaler initial [Video]. YouTube. Licensed under CC BY 4.0. https://youtu.be/KY-jSi_vbBQ, Open RN Project. (2020, January 14). Inhaler with spacer [Video]. YouTube. Licensed under CC BY 4.0. https://youtu.be/WhOzMLV6_p4, “Doctor_Talking_on_the_Phone_Cartoon.svg from Wikimedia Commons” by VideoPlasty.com is licensed under CC BY-SA 4.0, “A_Businessman_Holding_A_Thank_You_Sign.svg” by FriendlyStock.com is licensed under CC BY-SA 4.0 ↵
- “Respiratory Assignment 1” by Open RN is licensed under CC BY 4.0 ↵
- “Respiratory Assignment 2” by Open RN is licensed under CC BY 4.0 ↵