An elderly client diagnosed with asthma has a respiratory rate of ...

[ENagel]

An elderly client diagnosed with asthma has a respiratory rate of 28 at rest with audible wheezes upon inspiration. An appropriate nursing diagnosis for this client would be:
 
  1. Activity Intolerance.
   2. Ineffective Airway Clearance.
   3. Impaired Tissue Perfusion.
   4. Ineffective Breathing Pattern.

Question 2

When planning care for the client with fibromyalgia, the nurse asks the client what his/her goals are for relief of pain and fatigue. The nurse and client plan that the client will be able to do which of the following?
 
  1. Attend a child's baseball games
   2. Complete daily tasks for the family
   3. Join an exercise group
   4. Get a job outside the home

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Answer to Question 1

4. Ineffective Breathing Pattern

Rationale:
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 does or does not have ineffective airway clearance, activity intolerance, or impaired tissue perfusion.

Answer to Question 2

2. Complete daily tasks for the family

Rationale:
Fibromyalgia saps the client's energy. The client might set as an initial goal to be able to perform daily tasks for the family such as cooking and doing the laundry. Attending baseball games is a bit ambitious to start as are joining an exercise group or getting a job outside the home.