A patient who is experiencing an acute asthma attack is admitted to the emergency department.
Which action should the nurse complete first?

Administer a prescribed bronchodilator medication.

Check the patient's vital signs.

Collect a sputum sample for analysis.

Obtain a detailed health history.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Administering a prescribed bronchodilator medication is the priority action for a patient experiencing an acute asthma attack. This helps to open the airways and improve breathing.

Choice B rationale

While checking the patient's vital signs is important, it is not the first action in the acute management of an asthma attack. The immediate priority is to relieve bronchospasm.

Choice C rationale

Collecting a sputum sample for analysis is not the first priority in an acute asthma attack. Stabilizing the patient's breathing is more urgent.

Choice D rationale

Obtaining a detailed health history is essential for comprehensive care but is not the first action during an acute asthma attack. Rapid intervention to improve breathing is the priority.

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Correct Answer is D

Explanation

Choice A rationale

Reduced bronchospasm is a beneficial outcome for COPD, but it is not the primary outcome related to gas exchange.

Choice B rationale

Decreased breathlessness is a positive outcome for COPD, but it is not directly related to gas exchange.

Choice C rationale

Increased carbon dioxide retention is a negative outcome and indicates worsening of gas exchange.

Choice D rationale

Improved oxygen saturation levels are a direct and measurable outcome of effective gas exchange and indicate better oxygenation in COPD patients.

A. Clamp the client's chest tube. B. Increase the client's wall suction. C. Reposition the client. D. Strip the client's chest tube.

Correct Answer is C

Explanation

Choice A rationale

Clamping the chest tube can cause increased pressure in the pleural space and is not appropriate without specific indications.

Choice B rationale

Increasing the wall suction may not relieve the burning sensation and could potentially cause harm.

Choice C rationale

Repositioning the client can help alleviate the burning sensation by adjusting the position of the chest tube and the lung.

Choice D rationale

Stripping the chest tube is not recommended as it can increase intrathoracic pressure and cause damage.

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A patient who is experiencing an acute asthma attack is admitted to the emergency department.Which action should the nurse complete first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which outcome is appropriate for the client problem of "ineffective gas exchange" for the client diagnosed with chronic obstructive pulmonary disease (COPD)?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A patient who is experiencing an acute asthma attack is admitted to the emergency department.
Which action should the nurse complete first?