NCM31112L

CRITICAL THINKING EXERCISES (Respiratory Care Modalities)

1. Oxygen Therapy is required for the following patients: a 45 year old patient who has undergone a right lower
lobe lobectomy and needs short term, low flow oxygen; a 62 year old patient with severe COPD admitted to the
hospital for the 4th time the past year; and a 74 year old patient with dyspnea secondary to advanced lung
cancer. Describe the explanations and safety precaution indicated for each of these patients and their families.

2. Your patient has just returned from the operating room after chest surgery with an endotracheal tube, a chest
tube, and two intravenous line and cardiac monitoring in place. Identify the priorities of assessment and
interventions for this patient.

3. Your patient who underwent a thoracotomy less than 24 hours ago, has a chest tube in place on the right side.
Identify the actions that are indicated for each of the following situations and state the rationale for your
actions:

a. Output in chest drainage chamber of 500ml of serous drainage in the last 8 hrs
b. Continuous bubbling in the water seal chamber
c. Patient reports chest pain and dyspnea; absence of breath sounds on the right side of the thorax

4. A person being discharged home on oxygen therapy for the 1st time. The physician’s prescription is for 2L of
oxygen via nasal cannula. Write a teaching plan for home oxygen therapy to be discussed to the patient before
discharge from the hospital.

5. A patient who has had a chest tube inserted 8 hrs ago becomes confused and disconnects the tubes from the
drainage system. What immediate actions are indicated in this situation? What nursing assessments and
interventions are needed once the immediate situation has been corrected?

Due on or before September 28 (MONDAY) 2020

Please email output to:

angelica.eugenio@perpetual.edu.ph

ajeugenio227@yahoo.com

09167992698 if with questions

Brgy. Paciano Rizal, Calamba City, Laguna, 4027 Philippines  Tel. No.: (049) 834-1159
www.perpetualdalta.edu.ph
Calamba Campus