A school-age child with asthma came to the emergency department with a respiratory rate of 44 breaths/minute and wheezes heard throughout
After two breathing treatments, the nurse assesses a respiratory rate of 8 breaths/minute and hears no wheezing. The child is lying quietly on the bed. What action by the nurse is best?
A.
Allow the child to rest undisturbed.
B.
Call for another respiratory treatment.
C.
Obtain oxygen saturation; notify provider.
D.
Reassess the child in 30 minutes.
ANS: C
This respiratory rate is too low for a child of any age and is indicative of exhaustion and the inability to breathe effectively. The absence of wheezes may indicate lack of ventilation. The nurse should obtain an oxygen saturation and notify the provider immediately. Without action, the child could progress to respiratory arrest. There is no indication that the child needs another breathing treatment.
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