Author Question: While assessing a client who has facial trauma, the nurse auscultates stridor. The client is anxious ... (Read 28 times)

ereecah · **on:** Jun 25, 2018

While assessing a client who has facial trauma, the nurse auscultates stridor. The client is anxious and restless. Which action should the nurse take first?

a. Contact the provider and prepare for intubation.
b. Administer prescribed albuterol nebulizer therapy.
c. Place the client in high-Fowler's position.
d. Ask the client to perform deep-breathing exercises.

Question 2

A nurse cares for a client who is experiencing epistaxis. Which action should the nurse take first?

a. Initiate Standard Precautions.
b. Apply direct pressure.
c. Sit the client upright.
d. Loosely pack the nares with gauze.

hollysheppard095 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Facial and neck tissue edema can occur in clients with facial trauma. Airway patency is the highest priority. Clients who experience stridor and hypoxia, manifested by anxiety and restlessness, should be immediately intubated to ensure airway patency. Albuterol decreases bronchi and bronchiole inflammation, not facial and neck edema. Although putting the client in high-Fowler's position and asking the client to perform breathing exercises may temporarily improve the client's comfort, these actions will not decrease the underlying problem or improve airway patency.

Answer to Question 2

ANS: A
The nurse should implement Standard Precautions and don gloves prior to completing the other actions.