Author Question: A client arrives in the emergency room stating inability to sleep, tightness in the chest, and ... (Read 59 times)

rl · **on:** Jul 22, 2018

A client arrives in the emergency room stating inability to sleep, tightness in the chest, and difficulty breathing. Upon assessment, the nurse notes expiratory wheezes and dyspnea. Which action should the nurse take?

a. Administer oxygen via a Venturi mask, and initiate pulse oximetry monitoring until a health care provider is available to evaluate the client.
b. Allow the client to rest in the waiting area because the condition does not require immediate attention.
c. Find a health care provider who can immediately evaluate the client because symptoms indicate a severe asthma attack.
d. Notify a health care provider stat because the client requires immediate treatment for myocardial infarction and transfer to the cardiac care unit.

Question 2

To administer a large-volume enema to a client, the nurse should place the client in which of these positions?

a. position of comfort for the client
b. prone, with legs extended
c. left lateral with right leg sharply flexed
d. right lateral with left leg sharply flexed

ecox1012 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
The principal manifestations of asthma are the sudden onset of wheezing, increasing dyspnea, and chest tightness; initial increase in respiratory rate, which decreases as the client tires; and use of accessory muscles to aid respiration. Cough, cyanosis, increased blood pressure and heart rate, and anxiety may also occur. The client needs to be evaluated by a health care provider immediately.

Answer to Question 2

C
A large-volume enema is designed to clean the colon of as much feces as possible. Place the client in a left side-lying position with the right leg sharply flexed. This facilitates the flow of the fluid into the colon.