Aerosol therapy
When administering aerosol therapy this is a priority nursing responsibility
What is assessing effectiveness of the therapy
This medication reduces symptoms of asthma by suppressing inflammation
What are glucocorticoids
This symptom of pleural effusion is most likely the result of pleural inflammation
What is a dry, irritating cough
By providing this medication during the insertion of the chest tube the patient will remain comfortable
What is analgesia
This warning sign of cancer is listed by the American Cancer Society and is described as painful or difficulty swallowing
What is odynophagia
After breathing treatments the nurse must assist the patient with this
What is oral hygiene (oral care)
This fast acting beta 2 agonist, may cause shakiness, nervousness, tachycardia and increased blood pressure and requires close monitoring after administration
What is Albuterol
The inflammatory response related to the pulmonary infection and increased work of breathing may cause an increase in this vital sign
What is an elevated temperature
When the nurse is gathering supplies the nurse must ensure there are multiple chest tube sizes within this
What is a thoracotomy tray
This surgical procedure involves making an incision into the trachea and creating a stoma to assist with respiration
What is a tracheostomy
When administering aerosol therapy this is a priority nursing responsibility
What is assessing the patient's ability to administer the medication properly
Ipratropium is in a class of drugs that can cause bronchodilation and inhibits secretions
What is an anticholinergic
Encouraging frequent use of this respiratory tool can increase patient lung expansion
What is an incentive spirometer
The nurse should ensure that these items are available to secure tubing connections
What are adhesive tape or bands
These two complications are the most serious for the postoperative tracheostomy patient
When administering aerosol therapy this is a priority nursing responsibility
This leukotriene receptor antagonist (LTRA) reduces asthma symptoms through a decrease in airway inflammation
What is Singulair (Montelukast)
This nursing intervention will facilitate expectoration of pulmonary secretions, promote lung expansion and prevent atelectasis
What is coughing and deep breathing
The nurse would use this to create a seal around the chest tube site
What is a petroleum gauze
This may be placed to assist with adequate nutritional intake postoperatively and during radiation therapy
What is a percutaneous endoscopic gastrostomy tube (PEG) tube
When administering combination inhalation aerosols this class of drug is given first
What is a beta agonist (Alupent)
This combination inhaler of fluticasone and salmeterol is not appropriate for the relief of acute shortness of breath
What is Advair
This procedure involves removing fluid from the pleural space with a thin needle or catheter.
Upon returning the patient to bed after ambulation, the nurse knows that the chest tube should be placed in this position.
What is below the patient's chest
Adequate oral care, stimulating salivary flow and avoiding oral irritants such as alcohol will decrease a patient's risk for these oral complications
What are mucositis and xerostomia