Question

You have just received report from Kyle’s primary nurse as you will be covering for the nurse the rest of the shift. The reporting nurse tells you that Kyle last had Tylenol at home around 10:00. You review the MAR and Kyle’s vital signs. You walk into Kyle’s room to introduce yourself, and you note he has taken his oxygen nasal cannula off and is coughing. His mother is at his bedside watching television. You state, “Kyle it appears you are having some distress. Does it feel difficult to breathe?” Kyle states, “Yes, it feels like my lungs are all clogged up.” You obtain an albuterol nebulizer for Kyle and begin chest physiotherapy. As you are providing chest physiotherapy, you take the opportunity to demonstrate to Kyle’s mother correct placement of the hands and movement required to perform chest physiotherapy. When you are finished providing chest physiotherapy, Kyle states that he often feels better when his nebulizers are accompanied by physiotherapy. You are not confident Kyle will have someone available to provide chest physiotherapy as often as he needs at home so you contact social work to obtain a high frequency chest compression vest for the patient’s home.

1. What is the patient’s status?

2. Document a nursing intervention used to improve the patient’s respiratory status.

3. The patient teaching provided to the patient’s mother.

4. Document the request for a social work consult.

Answer 1

The patient might be suffering from the Bronchitis.​

​​​​​​Tylenol ( acetaminophen) helps to relieve the symptoms of bronchitis such as fever, headache.

Symptoms of Bronchitis:

Chest pain.

Cough.

Fatigue.

Shortness of breath.

Headache.

Nursing interventions to improve respiratory status:

1) As the patient feeling like lungs are clogged, give nebulised solution of Albuterol.

2) Albuterol is a mucokinetic and mucolytic capable of bringing mucus plugs out.

3) Assess the respirations: type , pattern.

4) Assess the cough : dry or wet.

5)Do the chest physiotherapy.

Patient teaching provided to the patient's mother:

Patient's mother should be explained about the current situation of the patuenp.

She is provided with basic skills for the emergency management of the patient.

She is taught about the diet practices.

She should be explaianed about the medical prescription: route of administration and frequency.

She should be taught the process of physiotherapy.

Social work consult :

Social work consult is a form of communication by which workers record their work.

It means the process by which the cases are managed.

The manner in which the services are evaluated,assessed.