NURS 258 Respiratory Assessment (E1)
Test With Complete Solution
subjective data - ANSWER what the patient tells you
includes: shortness of breath, cough, smoking history, PMH
Shortness of Breath (SOB) - ANSWER ask questions like:
When did it start? or Are you having any now?
Within the last day, have you had? Is it affected by a position, such as lying
down?
How long did/does it last?
DO you have it at activity/rest?
Have you done any treatments/did it help?
orthopnea - ANSWER difficulty breathing when supine
paroxysmal nocturnal dyspnea - ANSWER sudden awakening from sleeping
with shortness of breath
chronic dyspnea - ANSWER SOB > 1 month; may have neurogenic,
, respiratory, or cardia origin; occurs with anemia, anxiety, and deconditioning
Cough - ANSWER Ask questions like:
Do you have a cough? When did it start?
Gradual or sudden? How long have you had it?
Does it wake you up at night? Is it productive or nonproductive? If
productive, what color is it? Cough up any blood (looks like coffee grounds)?
acute cough - ANSWER lasts less than 2 or 3 weeks
chronic cough - ANSWER persists over 2 months
Characteristic Timing of Cough - ANSWER continuous throughout day --
acute illness (respiratory infection)
afternoon/evening -- exposure to irritants at work
night -- postnasal drip, sinusitis
early morning -- chronic bronchial inflammation (smokers)
hemoptysis - ANSWER coughing up blood
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