Friends of a client hospitalized with asthma would like to bring ...

[craiczarry]

Friends of a client hospitalized with asthma would like to bring the client a gift. Which gift would the nurse recommend for this client?
 
  A) A basket of flowers
  B) A stuffed animal
  C) Fruit and candy
  D) A book

Question 2

The nurse is providing care to a client admitted after experiencing an acute asthma attack. Which assessment findings indicate the need for immediate intervention by the nurse?
 
  Select all that apply.
  A) Retractions and fatigue
  B) Tachycardia and tachypnea
  C) Inaudible breath sounds
  D) Diffuse wheezing and the use of accessory muscles when inhaling
  E) Reduced wheezing and an ineffective cough

[ergserg]

Answer to Question 1

Answer: D

A client with asthma must not be exposed to items that can exacerbate their disease process. Specific allergens, chemicals, and foods must be avoided. Flowers, food, and items that may contain dust and much, such as a stuffed animal, should be avoided. Objects void of irritants, such as a book, would be an appropriate gift.

Answer to Question 2

Answer: C, E

Inaudible breath sounds, reduced wheezing, and ineffective cough indicate that little or no air movement into and out of the lungs is taking place. Therefore, this set of symptoms represents the most urgent need, which is immediate intervention by the nurse to open up the lungs with drug management to prevent total respiratory failure. During an asthma attack, tachycardia, tachypnea, and prolonged expirations are common. They are early symptoms of the disease process and can be addressed without urgency. Diffuse wheezing and the use of accessory muscles when inhaling indicate a progression of the severity of the symptoms, but airflow is still occurring; therefore, they do not require the most urgent action. Retractions and fatigue are also a progression of symptoms that occur with an asthma attack and represent a more severe episode. But they are not the worst or most serious set of symptoms listed, because air is still moving and exchanging.