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Caring for a person with respiratory distress –  CONSIDER THE PATIENT SITUATION

Trent responds well to his treatment and, although he has been spiking temperatures during the last few days, he is now afebrile. Although he still feels fatigued at times, Trent wants to go home as the opening date for the gym is fast approaching and he and Ian need to finish the renovations. However, Trent confides in you that he is feeling anxious as he has had increasing episodes of what he describes as ‘chest tightness’ over the last two days.

Q1  Label the following as either objective or subjective clinical data.

a  Increased pulse rate
b  A nurse’s assessment of a patient’s temperature
c  A patient’s report of breathlessness
d  Trent’s complaint of chest tightness

Q2  To further understand Trent’s ‘chest tightness’, you would collect information about which of the

following? (Select all you consider to be appropriate.)

a  Circulation
b  Respiration
c  Comfort
d  Skin
e  Pain
f  Sleep/rest pattern
g  Nutrition
h  Coping strategies
i  Musculoskeletal system

Q3  Which communication strategy would be most effective when assessing Trent’s ‘chest tightness’? (Select four correct responses.)

a  Using a calm tone of voice
b  Communicating to Trent what you think his problem is
c  Observing Trent’s behaviours and respiratory effort
d  Assessing Trent’s concerns while at the same time attending to other tasks and patients
e  Maintaining eye contact
f  Open-ended questions
g  Closed questions
SCIENCE
HEALTH SCIENCE
NURSING
NURSING C10122

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