The client is 36 weeks pregnant. The nurse is assessing the client's respiratory system and finds that her respiratory rate is 24 breaths per minute. The client states that she sometimes experiences shortness of breath
Which of the following is the nurse's best response? 1. "You have developed asthma during your pregnancy.".
2. "During your last trimester, it is normal for you to feel short of breath and to have a faster respiratory rate.".
3. "I'm going to have to notify your healthcare provider right now about these findings.".
4. "You have been infected with tuberculosis.".
2
Rationale 1: The pregnant client has not developed asthma. Asthma is a chronic hyperreactive condition resulting in bronchospasm, mucosal edema, and increased mucus secretion. Usually occurs in response to inhaled irritants or allergens.
Rationale 2: Shortness of breath, dyspnea, and an increased respiratory are normal findings during the last trimester of pregnancy as the woman's chest expands to accommodate the growing baby.
Rationale 3: These are normal findings for this pregnant client and the healthcare provider would not need to be notified.
Rationale 4: The client has not developed tuberculosis.
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