Author Question: An older adult client diagnosed with asthma has a respiratory rate of 28 at rest with audible ... (Read 319 times)

justinmsk · **on:** Jun 25, 2018

An older adult client diagnosed with asthma has a respiratory rate of 28 at rest with audible wheezes upon inspiration. Based on this data, which nursing diagnosis is the most appropriate?

A) Ineffective Airway Clearance
B) Impaired Tissue Perfusion
C) Ineffective Breathing Pattern
D) Activity Intolerance

Question 2

A nurse is teaching environmental control to the parents of a child with asthma. Which statement by the parents indicates effective teaching?

A) We'll be sure to use the fireplace often to keep the house warm in the winter.
B) We will replace the carpet in our child's bedroom with tile.
C) We'll keep the plants in our child's room dusted.
D) We're glad the dog can continue to sleep in our child's room.

mcni194 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

The client is experiencing an increased respiratory rate and is wheezing, which is an ineffective breathing pattern. Not enough information is provided to determine whether the client has ineffective airway clearance, activity intolerance, or impaired tissue perfusion.

Answer to Question 2

Answer: B

Control of dust in the child's bedroom is an important aspect of environmental control for asthma management, and replacing the carpeting in the child's bedroom with tile flooring will reduce dust. When possible, pets and plants should not be kept in the home. Smoke from fireplaces should be eliminated.