Test paper 1

Jamie Sutton lives in a house in Oxford. He is 22years old. He has been recently diagnosed
by his family doctor with asthma. He has a cough and a wheeze. He finds it difficult to take a
deep breath and has right sided chest pain which he says is as a consequence of coughing.
His family doctor prescribed inhalers and a course of steroids.

He has been admitted to your ward for treatment of asthma.

Background information

 Jamie smokes 10 cigarettes a day. He has smoked since he was 13.

 He lives with his mother and sister. His mother smokes.
 Jamie cycles to work
 He works full time as a carpenter

Questions:

1. Name three signs and symptoms of respiratory failure?

2. How often should Jamie’s vital signs be assessed and recorded?

3. What other bedside assessment should be done for Jamie to assess his lung
function?

4. What education must Jamie receive before leaving hospital to help him to manage
his asthma?