Answer to Question 1
Correct Answer: 1,2,3
Rationale 1: Difficulty breathing would indicate a deteriorating respiratory status and should be reported immediately.
Rationale 2: Feeling breathless when speaking would indicate a deteriorating respiratory status and should be reported immediately.
Rationale 3: Anxiety can indicate a deteriorating respiratory status and should be reported immediately.
Rationale 4: A decreased, not increased, activity level would indicate a deteriorating respiratory status.
Rationale 5: A decreased, not increased, appetite may indicate the work of breathing is interfering with the ability to eat and may be a sign of deteriorating respiratory status.
Global Rationale: Instruct the patient to report immediately symptoms of deteriorating respiratory status such as increased dyspnea, breathlessness with speech, increased anxiety, or orthopnea. A decreased, not increased, activity level would indicate a deteriorating respiratory status. A decreased, not increased, appetite may indicate the work of breathing is interfering with the ability to eat and may be a sign of deteriorating respiratory status.
Answer to Question 2
Correct Answer: 1,2,3
Rationale 1: Increased ease of breathing would indicate less bronchospasm.
Rationale 2: Improved peripheral oxygenation would indicate improved gas exchange.
Rationale 3: Absence of adventitious sounds would indicate less mucus production.
Rationale 4: Hepatic function does not assess pulmonary function.
Rationale 5: Therapeutic levels for medications do not guarantee their effectiveness.
Global Rationale: Therapeutic effect of treatment for asthma is evaluating by assessing ease of breathing, adventitious breath sounds, and tissue oxygenation. Normal appetite and sleeping patterns should occur. Hepatic function does not assess pulmonary function. Therapeutic levels for medications do not guarantee their effectiveness.