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Module 03 Mini Case Studies - Altered Breathing Patterns
Purpose
To identify maladaptive breathing patterns and intervene as necessary
Competency
Explain care for the client with upper respiratory disorders.
Instructions
Read the scenarios and answer the questions that follow each one. Please cite any sources using APA format.
Scenario # 1
A 45-year-old male comes to the ER unconscious. A co-worker went to check on him when he did not show up for work and found him unconscious. The client is a type one diabetic. His respirations are 36 and his breath has a “fruity” breath. His respirations are both deep and rapid. Labs are drawn and his glucose is 1024.
Why does this client have rapid, deep respirations and “fruity” smelling breath? (5-10 sentences)
Scenario # 2
A 94-year-old in long-term-care is terminally ill and has been placed on hospice care. Her family summons you because her breathing has become erratic. You observe periods of rapid, deep respirations followed by periods of apnea.
What should the nurse do next? (5-10 sentences)
Scenario # 3
A 64-year-old male comes via car to the clinic where you are working. His wife reports he has been having “trouble breathing” for the past several days but today it is much worse. The client is unable to speak and appears very anxious. His respiratory rate is 48.
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