A nurse is auscultating the lungs of a client who presented to the emergency department complaining of an asthma attack. The nurse hears no wheezing. The nurse should conclude that the client
a. does not really have asthma.
b. is not having a bad attack.
c. may have severe airway constriction.
d. needs increased IV fluids.
C
The inability to auscultate wheezing in an asthmatic client with acute respiratory distress may be an ominous sign. It may indicate that the small airways are too constricted to allow any air flow. The client may require immediate, aggressive medical intervention.
You might also like to view...
What is the most important assessment question to ask a patient before administering intravenous metoclopramide (Reglan)?
a. "Are you being treated for depression?" b. "Is your type 1 diabetes well controlled?" c. "Do you have a gastric or duodenal ulcer?" d. "Are you taking aspirin or any aspirin-containing products?"
The nurse is conducting a health history interview for a patient as part of the spiritual assessment. Which action by the nurse is appropriate when collecting biographical data?
1) Asking the patient if he or she is experiencing spiritual distress because of chronic illness 2) Exploring the connection between the patient's health and spiritual needs 3) Identifying familial problems that may pose a threat to the patient's health and spiritual needs 4) Asking questions to clarify data on the patient's information sheet
A clean-catch specimen requires careful washing of the genitals
Indicate whether the statement is true or false.
The healthcare organization has a long history of a dissonant culture. How can nurse leaders in the facility promote change to a healing culture? Select all that apply
1. Hire staff with strong clinical skills and then provide education on values consistent with those of a healing culture. 2. Hire staff with similar cultural backgrounds to reduce differences. 3. Foster retention of administrators and staff with diverse backgrounds but with similar, consistent thinking habits and ideas. 4. Assessing the mission statement of the organization for its stated values. 5. Appraise whether stated values are cherished and demonstrated.