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The nurse should verify
the proper client and route. The rationale behind this is a nurse should
monitor the five "Rs" of medication administration: right client,
right drug, right dose, right route, and right time. The drops may be warmed to
prevent pain or dizziness, but this act isn't important. An emesis basin would
be used for irrigation of the ear. The client should be placed in the lateral
position for five minutes, not semi-Fowler's position, to prevent the drops
from draining.
Answer:
A peak expiratory flow (PEF) measurement
Explanation:
The peak expiratory flow (PEF), or peak expiratory flow rate (PEFR), is a person's maximum speed of expiration, as measured with a peak flow meter, a small, hand-held device used to monitor a person's ability to breath out air. It measures the airflow through the bronchi and thus the degree of obstruction in the airways. Peak expiratory flow is typically measured in units of liters per minute (L/min).
Measurements may be based on 1 second or less but are usually reported as a volume per minute. Electronic devices will sample the flow and multiply the same volume (Liters) by 60, divided by the sample (seconds) for a result measured in L/minute: (sample volume*60)/sample time.
Peak flow readings are often classified into 3 zones of measurement according to the American Lung Association, green, yellow, and red.
Green zone: 80 to 100 percent of the usual or normal peak flow readings are clear. A peak flow reading in the green zone indicates that the asthma is under good control.
Yellow zone: 50 to 59 percent of the usual or normal peak flow readings. Indicates caution. It may mean respiratory airways are narrowing and additional medication may be required.
Red zone: less than 50 percent of the usual or normal peak flow readings. Indicates medical emergency. Severe airway narrowing may be occurring and immediate action needs to be taken. This would usually involve contacting a doctor or hospital.
