The nurse is caring for a patient newly diagnosed with asthma. Which assessment data indicates the need for an immediate intervention?

Bradypnea.

Decreased respiratory rate

Increased crackles

Diminished breath sounds

Answer and Explanation

The Correct Answer is D

A.   Bradypnea, or a slow respiratory rate, is concerning but not typically associated with asthma exacerbations. In asthma, patients usually experience tachypnea (increased respiratory rate) as they try to compensate for difficulty breathing.
B.   A decreased respiratory rate in an asthma patient can be alarming, but it may not necessarily indicate an immediate need for intervention unless it’s associated with other severe symptoms. In general, asthma patients often have an increased respiratory rate due to respiratory distress.
C.   While crackles can indicate fluid in the lungs and may suggest an underlying issue, they are not the most immediate concern in a patient with asthma. Crackles can occur in various conditions, and they alone may not necessitate urgent intervention.
D.   Diminished breath sounds are a critical finding in asthma patients. This may indicate severe airway obstruction or a lack of air movement due to severe bronchospasm. In the context of asthma, diminished breath sounds can signify that the patient is not able to move air effectively, which requires immediate intervention to prevent respiratory failure.

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Correct Answer is ["A","D","E"]

Explanation

A. It is important to place a surgical mask on the patient when transporting them to minimize the risk of spreading TB droplets in the environment. This practice helps reduce transmission during transport.
B. TB is primarily transmitted via airborne particles, not droplets. Therefore, patients with active TB should be placed on airborne precautions, not droplet precautions. Airborne precautions include the use of specialized masks and a negative airflow room to prevent the spread of infectious aerosols.
C. While a surgical mask is not adequate for protecting healthcare workers from TB, they should wear a fitted N95 respirator or a powered air-purifying respirator (PAPR) when providing care to a patient with active TB. A surgical mask does not filter out the small particles that can carry TB bacteria.
D. Patients with active TB should be placed in a private room that has negative pressure ventilation. This design helps prevent airborne TB particles from escaping into other areas of the healthcare facility, protecting other patients and staff.
E. Eye protection is recommended when collecting sputum samples from a patient with active TB, as it helps protect against potential splashes of respiratory secretions that may contain infectious droplets. This is particularly important during procedures that may aerosolize the bacteria.

A. Infectious mononucleosis B. Rheumatic fever C. Pneumonia D. Nasopharyngitis

Correct Answer is B

Explanation

A. Infectious mononucleosis is caused by the Epstein-Barr virus, not by streptococcal bacteria. Therefore, antibiotics for streptococcal pharyngitis would not prevent this illness.
B. Rheumatic fever is a serious complication that can occur after an untreated streptococcal infection. It can affect the heart, joints, and nervous system. Treating streptococcal pharyngitis with antibiotics effectively reduces the risk of developing rheumatic fever.
C. While streptococcal bacteria can cause pneumonia, the primary concern with acute streptococcal pharyngitis is rheumatic fever. Pneumonia can be a complication, but it is not the most critical disease to prevent with antibiotics in this context.
D. Nasopharyngitis, often referred to as the common cold, is typically caused by viruses. Antibiotics would not prevent this condition, as it is not related to streptococcal infections.

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The nurse is caring for a patient newly diagnosed with asthma. Which assessment data indicates the need for an immediate intervention?

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Naxlex Comprehensive Predictor Exams

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