The nurse assesses an older adult after an upper respiratory infection and notes the following lung sound on auscultation. What is the nurse's best action? (Click the media button to hear the audio clip.)
a. Assess the client for the development of asthma.
b. Ask the client if he or she finished all the medication.
c. Administer oxygen immediately.
d. Assess arterial blood gas.
A
Scattered wheezes is the sound heard. New-onset asthma can occur in older clients after they re-cover from an upper respiratory infection or severe cold. The nurse should assess the client for other symptoms such as sputum production and response to activity. Finishing medication would not necessarily cause the client to have wheezing. The nurse should assess oxygen satura-tion before administering oxygen or assessing arterial blood gas.
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