A client is admitted to the emergency room with an asthma attack. To decrease the client's dyspnea and anxiety, which of the following interventions will the nurse perform?

Let the client rest alone in a quiet, calm environment.

Reassure the client that the doctor will arrive soon.

Place the client on a cardiac monitor and observe from the nurse's station.

Stay with the client and encourage pursed-lip breathing.

Answer and Explanation

The Correct Answer is D

A. Letting the client rest alone is not an appropriate intervention for an asthma attack. The client needs reassurance and support during an asthma exacerbation, and isolation can increase anxiety and worsen symptoms.

B. Reassuring the client that the doctor will arrive soon may provide some comfort, but it does not directly address the acute symptoms of dyspnea and anxiety. Immediate interventions to manage the asthma attack should be prioritized.

C. Placing the client on a cardiac monitor and observing from the nurse's station may be appropriate for monitoring heart rate and rhythm, but it does not address the primary concern of managing the asthma attack or anxiety. The nurse should be present to provide direct support and interventions.

D. Staying with the client and encouraging pursed-lip breathing is an effective intervention for managing anxiety and dyspnea during an asthma attack. Pursed-lip breathing helps the client slow their breathing, improve ventilation, and reduce anxiety, which can alleviate dyspnea.

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Correct Answer is A

Explanation

A. Pleural effusion on the unaffected side is not directly related to a fractured rib. While rib fractures can lead to complications such as pneumothorax or hemothorax, pleural effusion on the opposite side is likely caused by another condition, such as infection or malignancy, and should be investigated separately.

B. Shallow breathing due to pain is a common response to a fractured rib, as the client may avoid deep breaths to minimize discomfort.

C. Guarding behavior when taking deep breaths is directly related to the pain caused by the fractured rib and is an expected observation.

D. Localized chest pain on inspiration is a hallmark symptom of a fractured rib, as the injury causes discomfort with chest wall movement during breathing.

A. Tachypnea B. Cyanosis C. Peripheral edema D. Hypertension

Correct Answer is C

Explanation

A. Tachypnea is a common finding in patients with COPD due to respiratory distress, but it is not specifically associated with cor pulmonale or heart failure.

B. Cyanosis, or a bluish tint to the skin, is a sign of hypoxemia and may occur in COPD, but it is not a hallmark sign of cor pulmonale.

C. Peripheral edema is a key sign of right-sided heart failure, which is common in cor pulmonale. This occurs due to the heart's inability to pump blood effectively, leading to fluid accumulation in the extremities.

D. Hypertension may be present in patients with COPD, but it is not the most specific finding related to cor pulmonale. Peripheral edema is more directly associated with the right-sided heart failure seen in cor pulmonale.

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A client is admitted to the emergency room with an asthma attack. To decrease the client's dyspnea and anxiety, which of the following interventions will the nurse perform?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the respiratory status of a client who has suffered a fractured rib. Which observation, if made by the nurse, would not be directly related to the fractured rib?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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