Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)
Patient color
Lung sounds
Heart tones
Bowel sounds
Peripheral pulses
Respiratory rate and effort
Pulse oximetry reading
Peak expiratory flow
Correct Answer : A,B,C,F,G,H
A. The patient's color can indicate their oxygenation status. Cyanosis (bluish tint) may suggest hypoxia, which is critical to assess in an asthma patient.
B. Auscultation of lung sounds is essential in asthma assessment. The presence of wheezing, prolonged expiration, or decreased breath sounds can indicate airway obstruction and the severity of the asthma exacerbation.
C. Assessing heart tones can provide information about the cardiovascular response to respiratory distress. Increased heart rate may occur due to hypoxia or anxiety associated with asthma attacks.
D. Bowel sounds are not relevant in the assessment of asthma. While gastrointestinal symptoms may co- occur in some patients, they are not directly related to asthma's respiratory condition.
E. While peripheral pulses are important in general assessments, they do not provide specific information relevant to asthma management or respiratory status.
F. Monitoring respiratory rate and effort is crucial in assessing asthma. Increased respiratory rate and use of accessory muscles may indicate respiratory distress or an asthma exacerbation.
G. A pulse oximetry reading provides an objective measure of oxygen saturation. Low oxygen saturation levels indicate inadequate oxygenation, which is critical to monitor in asthma patients.
H. Measuring peak expiratory flow rate (PEFR) helps assess the severity of airway obstruction and monitor asthma control. It can guide treatment decisions and determine if an asthma attack is occurring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bradycardia, or a slower-than-normal heart rate, is not typically associated with anemia due to blood loss. Instead, anemia often leads to tachycardia (increased heart rate) as the body compensates for the reduced oxygen-carrying capacity of the blood.
B. Hypertension, or elevated blood pressure, is not a common finding in cases of anemia from blood loss. In fact, blood loss often results in hypotension (low blood pressure) due to decreased blood volume and circulating fluid.
C. Fatigue is a common symptom of anemia. As the body's ability to transport oxygen decreases due to the lack of sufficient red blood cells, the client may experience weakness, tiredness, and general fatigue, especially after surgery.
D. Diarrhea is not a typical finding associated with anemia from blood loss. While certain conditions causing anemia (such as gastrointestinal bleeding) could lead to changes in bowel habits, diarrhea itself is not a direct consequence of anemia. Instead, clients may experience symptoms more related to fluid volume status and energy levels.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.