Which nursing diagnosis would the nurse select for an older patient with asthma that has a respiratory rate of 28 and audible wheezes on inspiration?
1. Activity Intolerance
2. Altered Tissue Perfusion
3. Ineffective Airway Clearance
4. Ineffective Breathing Pattern with tachypnea and wheezing.
Question 2
During a blood pressure screening at the local shopping center, a 78-year-old man tells the nurse he is experiencing a fluttering in his chest while doing yard work. He reports no other symptoms and the frequency is intermittent.
The nurse would interpret this finding to be consistent with
A) underlying illness that requires a medical evaluation.
B) nonspecific cardiac changes with aging.
C) hypothyroidism.
D) exercise intolerance.