The nurse is caring for an older adult who reports experiencing frequent asthma attacks and severe arthritic pain. What action by the nurse is most appropriate?
a. Review pulmonary function test results.
b. Assess use of medication for arthritis.
c. Assess frequency of bronchodilator use.
d. Review arterial blood gas results.
B
Aspirin and other NSAIDs can trigger asthma in some people. This results from increased pro-duction of leukotriene when aspirin or NSAIDs suppress other inflammatory pathways and is a high priority given the client's history. Reviewing pulmonary function test results will not ad-dress the immediate problem of frequent asthma attacks. This is a good intervention for review-ing response to bronchodilators. Questioning the client about the use of bronchodilators will ad-dress interventions for the attacks but not their cause. Reviewing arterial blood gas results would not be of use in a client between attacks because many clients are asymptomatic when not having attacks.
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