The nurse, discharging a client recently diagnosed with asthma, ...

[karateprodigy]

The nurse, discharging a client recently diagnosed with asthma, explains that symptoms that should be reported immediately to the health care provider include:
 
  Standard Text: Select all that apply.
  1. difficulty breathing.
  2. feeling breathless when speaking.
  3. increased anxiety.
  4. increased activity level.
  5. increased appetite.

Question 2

The priority assessment for a client receiving asthma medications to determine effectiveness of therapy should include:
 
  Standard Text: Select all that apply.
  1. increased ease of breathing.
  2. improved signs of peripheral oxygenation.
  3. absence of adventitious sounds.
  4. normal hepatic function.
  5. therapeutic levels of medications.

[sabina576]

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.

[karateprodigy]

TY

[sabina576]

You're welcome