A patient who is experiencing an asthma attack develops ...

[Tirant22]

A patient who is experiencing an asthma attack develops bradycardia and a decrease in wheezing. Which action should the nurse take first?
 
  a. Notify the health care provider.
  b. Document changes in respiratory status.
  c. Encourage the patient to cough and deep breathe.
  d. Administer IV methylprednisolone (Solu-Medrol).

Question 2

The nurse assesses a patient with a history of asthma. Which assessment finding indicates that the nurse should take immediate action?
 
  a. Pulse oximetry reading of 91
  b. Respiratory rate of 26 breaths/minute
  c. Use of accessory muscles in breathing
  d. Peak expiratory flow rate of 240 L/minute

[fur]

Answer to Question 1

ANS: A
The patient's assessment indicates impending respiratory failure, and the nurse should prepare to assist with intubation and mechanical ventilation after notifying the health care provider. IV corticosteroids require several hours before having any effect on respiratory status. The patient will not be able to cough or deep breathe effectively. Documentation is not a priority at this time.

Answer to Question 2

ANS: C
Use of accessory muscle indicates that the patient is experiencing respiratory distress and rapid intervention is needed. The other data indicate the need for ongoing monitoring and assessment but do not suggest that immediate treatment is required.

[Tirant22]

Thank you

[fur]

Happy to help you