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concept of nursing 1
Peak Expiratory Flow Measurement
| Question | Answer |
|---|---|
| A patient with reactive airway disease reports a personal best PEFR of 480 L/min and a rate this morning of 360 L/min. What does this indicate? | These readings indicate the patient is experiencing a moderate exacerbation. |
| What should the patient do to make a peak flow measurement more accurate? | Stand during the attempt. |
| The patient has completed three PEFR attempts with results of 550 L/min, 580 L/min, and 575 L/min. Which value should be documented on the patient’s record? | 580 L/min |
| For which patient should a peak flow measurement not be attempted? | A 24-year-old patient who is diaphoretic and speaking only one word at a time |
| When attempting a peak flow measurement on an adult patient in moderate respiratory distress, which signs and symptoms in the patient should make the nurse abort the procedure after the first attempt? | Complaints of feeling dizzy |
| A pediatric patient is diagnosed with asthma in the ED. Before educating the patient and family about performing peak flow measurements, what information is necessary to determine the patient’s normal range of peak flow readings? | The patient’s height |
| When discussing the zones of peak flow rate measurement interpretation with the patient, the nurse includes instruction about initiating bronchodilator therapy and contacting the practitioner or calling emergency medical services immediately. | -- |
| The nurse is instructing about which zone? | RED |
| Which statement by a patient indicates understanding of education regarding care of the peak flow meter? | “I will wash my flow meter according to the manufacturer’s instructions.” |
| A 6-year-old patient is experiencing an acute asthma exacerbation, but the PEFR does not correlate clinically with the symptoms. What should the nurse do? | Request an order to treat the patient based on the symptoms. |
| When teaching the patient how to obtain a peak flow measurement, the nurse explains that the following steps should be performed in which order? | Blow out forcefully, inhale deeply, hold breath, place mouth around mouthpiece |
| A patient with reactive airway disease arrives in the ED with complaints of increasing dyspnea. The patient’s personal best peak expiratory flow rate (PEFR) is 480 L/min, and the PEFR this morning was 260 L/min. What should the nurse do? | Ask if a rescue inhaler was used because the patient is in the yellow zone |
| How can an adult patient make PEFR assessments more accurate? | by standing or sitting up Straight( if aunabble to stand) |
| A 21-year-old patient measures a PEFR in the morning and it is 190 L/min. The patient’s normal PEFR is 400 L/min. What should be the patient’s next step? | Take a rescue medication immediately |
Created by:
Lightnning54
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