Patient Data
After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen.
Which action(s) should the nurse take next? Select all that apply.
Administer additional nebulizer treatment as ordered.
Take and monitor vital signs.
Apply a nonrebreather oxygen mask.
Increase oxygen flow.
Raise the head of the bed.
Provide client incentive spirometer and instruct on use.
Correct Answer : A,B,D,E
Inhaled short acting beta agonists can should be administered up to 3 times until there the obstruction in managed. In the event that the nebulization fails to relieve the respiratory distress, other treatment options such as magnesium sulphate can be used.
Oxygen flow should also be titrated appropriately to achieve the targeted SPO2 levels. However, changing the modality of oxygen delivery is not necessary at this part.
Continuous vital signs monitoring allows for timely interventions at all times to prevent respiratory failure. Although not a primary measure, raising the head of the bed can increase comfort reducing the work of breathing.
While incentive spirometry may have a role in the management of asthma in certain situations, such as during the recovery phase after an acute exacerbation or in individuals with chronic asthma who have reduced lung function, it is not typically used as a primary intervention during the acute phase of an asthma attack.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B Restricting protein intake can help reduce the workload on the kidneys and minimize proteinuria (excess protein in the urine), which is common in glomerulonephritis. Limiting high-
protein foods, especially animal proteins, can help slow the progression of kidney damage and preserve kidney function.
A Increasing potassium intake is generally not recommended in glomerulonephritis, especially if the client has hyperkalemia (elevated potassium levels). In kidney disease, potassium levels can become elevated due to decreased excretion by the kidneys.
C Limiting oral fluid intake to 500 mL/day is not a suitable recommendation for most clients with glomerulonephritis. Adequate hydration is important for maintaining kidney function and preventing complications such as dehydration and electrolyte imbalances.
D While increasing fiber intake is generally beneficial for overall health and gastrointestinal function, it is not a specific dietary recommendation for clients with glomerulonephritis.
Correct Answer is ["A","B","D","E"]
Explanation
Inhaled short acting beta agonists can should be administered up to 3 times until there the obstruction in managed. In the event that the nebulization fails to relieve the respiratory distress, other treatment options such as magnesium sulphate can be used.
Oxygen flow should also be titrated appropriately to achieve the targeted SPO2 levels. However, changing the modality of oxygen delivery is not necessary at this part.
Continuous vital signs monitoring allows for timely interventions at all times to prevent respiratory failure. Although not a primary measure, raising the head of the bed can increase comfort reducing the work of breathing.
While incentive spirometry may have a role in the management of asthma in certain situations, such as during the recovery phase after an acute exacerbation or in individuals with chronic asthma who have reduced lung function, it is not typically used as a primary intervention during the acute phase of an asthma attack.
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