PLEASE RESPOND TO THE FOLLOWING CLASSMATE’S POST IN 50 WORDS OR MORE: 

Option 1

1. What other questions should the nurse ask about the cough?

How long have you had this cough?  Was it gradual or sudden?  How often do you cough? Is there any blood in the phegm?  How long has the phlegm been green? Is the phlegm thick, thin, or frothy?  Does the phlegm have an unusual odor?  Is the coughing associated with any chest pain or ear pain?  Do you have any problems catching your breath after coughing?  Is there anything in particular that causes the cough?  Does activity make it better or worse? Are you using any treatments to lessen the symptoms of the cough? If so, prescription or over the counter?   If so, are they working? 

1. Develop a problem list from the objective and subjective data.

Green phlegm could indicate infection.  Runny nose and sore throat could indicate a virus or sinus infection.  Hypertension.  Ronchi and wheezing possibility of obstructive lung disease.  TM bulging possible ear infection.  Red sore throat with pustules could indicate infection. Fatigue.

1. What nursing diagnoses can be derived from the problems list?

Ronchi and wheezing: Impaired gas exchange related to rhonchi and wheezing. 

Impaired swallowing related to pain in throat.

Acute pain related to sore throat.

Decreased activity related to fatigue.

1. What should be included in the plan of care?

Assess respiratory rate, oxygen saturation, lung sounds.  Provide patient with pain relief, cough suppressants, breathing treatments, steroids.  Keep patient in a comfortable position with head of bed elevated to minimize shortness of breath. Sputum sample to determine bacteria.   

1. What risk factors are associated with this age group?

Heart disease and hypertension.  Respiratory diseases such as asthma, emphysema, and COPD.  Cancer. Prostate problems.

1. Based on the readings, what is the most likely cause of this patient’s cough?

Based on the readings, wheezing is a common symptom of acute bronchitis. Fatigue, post-nasal drip, and sore throat are also symptoms of bronchitis.

Jarvis, C. (2016). Physical Examination & Health Assessment /: 7th edition. Elsevier.