The nurse is caring for a client who is demonstrating signs of increased respiratory distress related to laryngeal obstruction. The nurse is calling the physician to report on the client's condition

Question

Which of the following will the nurse report? Select all that apply. A) A decreased respiratory rate
B) Arterial blood gases reporting a PaCO2 of 48 and a PaO2 of 84
C) Nasal flaring with abdominal retractions
D) Administration of a corticosteroid inhaler for quick relief
E) Lung sounds of stridor
F) Increased respiratory effort

Answer 1

B, C, E, F
Feedback:
The nurse would be calling to report signs of respiratory distress. This includes nasal flaring with abdominal retractions, stridor and an increased respiratory effort. Also arterial blood gases with an elevated CO2 and lower oxygen level indicates respiratory compromise. An increased respiratory rate occurs in respiratory compromise. Administration of a corticosteroid decreases inflammation over a period of time.