A client describes a sensation of shortness of breath and the inability to get enough air. How should the nurse document the findings?
Dyspnea
Aspiration
Hemoptysis
Orthopnea
The Correct Answer is A
A. Dyspnea is the medical term for shortness of breath or difficulty breathing. It is a subjective sensation of uncomfortable breathing and is the most appropriate term for this client's description.
B. Aspiration refers to the inhalation of food, liquid, or other foreign substances into the airways, which can lead to choking or pneumonia. This does not describe the sensation of shortness of breath.
C. Hemoptysis refers to coughing up blood, which is unrelated to the sensation of shortness of breath described in the question.
D. Orthopnea is shortness of breath that occurs when lying flat, often associated with heart failure. The description in the question does not specifically mention difficulty breathing while lying down.
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Related Questions
Correct Answer is B
Explanation
A. Needle thoracentesis is typically performed in cases of pneumothorax or pleural effusion, not asthma exacerbation. The symptoms described do not indicate a pleural space issue that would require thoracentesis.
B. Emergency intubation may be necessary if the asthma exacerbation is severe and unresponsive to initial interventions such as bronchodilators, corticosteroids, and oxygen therapy. The patient's symptoms of severe dyspnea, accessory muscle use, and wheezing suggest respiratory distress, and intubation may be required to secure the airway and assist with ventilation.
C. Pleurodesis is a procedure used to treat recurrent pleural effusions, not asthma exacerbations. It involves the obliteration of the pleural space, which is not relevant to the current situation.
D. Chest tube insertion is typically performed for pneumothorax or other issues involving the pleural space, not for asthma exacerbation. The described symptoms do not suggest the need for a chest tube.
Correct Answer is B
Explanation
A. Bacteria are not typically detected by a guaiac stool test. Bacterial infections may be diagnosed with a stool culture or other microbiological tests.
B. The guaiac stool test is used to detect hidden (occult) blood in the stool, which can be a sign of gastrointestinal bleeding, such as from ulcers, polyps, or cancer.
C. Steatorrhea refers to the presence of excess fat in the stool, which can be detected by other tests, such as fecal fat analysis, not a guaiac test.
D. Parasites are usually detected through stool microscopy or stool ova and parasite (O&P) tests, not a guaiac test.
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