A patient who is experiencing an asthma attack develops bradycardia and a decrease in wheezing. Which action should the nurse take first?
a. Notify the health care provider.
b. Document changes in respiratory status.
c. Encourage the patient to cough and deep breathe.
d. Administer IV methylprednisolone (Solu-Medrol).
ANS: A
The patient's assessment indicates impending respiratory failure, and the nurse should prepare to assist with intubation and mechanical ventilation after notifying the health care provider. IV corticosteroids require several hours before having any effect on respiratory status. The patient will not be able to cough or deep breathe effectively. Documentation is not a priority at this time.
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