A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding is most closely associated with the characteristic signs and symptoms of asthma?
A) Shallow respirations
B) Increased anterior-posterior (A-P) diameter
C) Bilateral wheezes
D) Bradypnea
Ans: C
Feedback:
The three most common symptoms of asthma are cough, dyspnea, and wheezing. There may be generalized wheezing (the sound of airflow through narrowed airways), first on expiration and then, possibly, during inspiration as well. Respirations are not usually slow and the child's A-P diameter does not normally change.
You might also like to view...
A critical care nurse is aware of the high incidence and prevalence of ventilator-associated pneumonia (VAP) in high-acuity settings. In order to reduce patients' risks of developing VAP, what intervention should the nurse prioritize?
A) Provide frequent, thorough mouth care. B) Auscultate the patient's lungs at least every 6 hours. C) Administer prophylactic intravenous antibiotics as ordered. D) Maintain the patient in a supine position whenever possible.
Which services does membership in the National Federation of Practical Nurses (NFPN) provide? (Select all that apply.)
a. Subscription to the American Journal of Nursing b. Insurance discounts c. Continuing education articles for CEUs d. Certification programs in IV therapy and gerontology e. Current standards of practice
The technique that is least susceptible to response-set bias is:
A) Interviews B) Vignettes C) Questionnaires D) Projective measures
When giving a bed bath, always cover the patient with
A. the top sheet. B. a gown. C. a draw sheet. D. a bath blanket.