You are an RN in a busy Emergency Department who is caring for a patient who was brought in for an acute asthma attack about 5 minutes ago. Upon arrival, the patient was loudly wheezing and able to talk in 4 to 5 word sentences. A couple of minutes later as you are charting, you notice that you can no longer hear the patient wheezing. You know you should now.
Reassess the client for a potential life-threatening development
Prepare the client for discharge
Chart that the patient has improved on their own
Return the Albuterol to medication bin as you will no longer need it
The Correct Answer is A
A. The absence of wheezing in a patient with an acute asthma attack is a critical sign. It may indicate that the patient is deteriorating rapidly, and their airways are closing significantly. This is a life-threatening situation requiring immediate intervention.
B. A patient with an acute asthma attack would not be discharged without significant improvement and stabilization.
C. While it might seem like an improvement, the absence of wheezing in this context is a red flag and not a positive sign.
D. The patient may still require additional bronchodilators or other interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Anemia is a decrease in red blood cells, opposite to the condition described.
B. Hypoxic drive refers to the body's adaptation to use low oxygen levels as a stimulus to breathe, not an increase in red blood cells.
C. Polycythemia refers to an abnormal increase in red blood cells, which is a compensatory mechanism for chronic hypoxia.
D. Pancytopenia is a decrease in all types of blood cells, not an increase in one specific type.
Correct Answer is D
Explanation
A. Albuterol is a bronchodilator, not an immunosuppressant.
B. While it's possible for some medications to affect blood sugar, albuterol is not known for this side effect.
C. Mouth sores are not a common side effect of albuterol.
D. One of the common side effects of albuterol is an increased heart rate (tachycardia).
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