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Case of Luanne Yazzie  pg112 AH2

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Professor Johanna Ramirez

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Which symptoms does Luanne demonstrate that indicate early signs of emphysema?  Select all that apply. 

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Match the diagnostic tests with the correct match.

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Luanne's provider perscribes a chest X-ray and PFT. The confirm that she is at a moderate Stage 2 disease with forced expiratory volume in one second FEV1 65% of normal. Luanne has many questions, how should the nurse respond? 

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The registered nurse reviews the assessment documented by the LPN and diagnostic findings. Which assessment inconsistencies require re-evalution by the RN? Select all that apply. 

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Reflect on Luanne's diagnosis and identify 3 top teaching priorities. 

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Luanne does not understand the need for two inhalers. How should the nurse explain the difference? 

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Luanne ABG comes back, what state is she in: pH 7.33, PC02 47, HCO3 30.  

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Lunanne starts to feel more shortness of breath and temp 101.3, HR 110, sputum now yellow rust colored. Lung sounds dimished. What assumptions does the nurse make? 

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The healthcare provider perscribes per small volume nebulizer SVN. Luanne asks the nurse how its different from metered dose inhaler MDI. How should the nurse respond? 

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Luanne's son asks why she is so confused. How should the nurse respond?

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What else could the nurse suggest that would be helpful for Luanne's recovery?  Select all that apply.

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The nurse is instructing Luanne on how to use the nebulizer. What should be included in the instructions? Select all that apply. 

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