A patient came to the walk-in clinic with extremely labored breathing and a history of asthma that is unresponsive to prescribed inhalers or medications. What would you do first?
Call 911 and report that the patient has probable status asthmaticus.
Obtain the equipment and prepare the patient for intubation.
Establish IV access to give emergency medication.
Place the patient in a high Fowler's position and start oxygen therapy.
The Correct Answer is D
A. While status asthmaticus is a severe, life-threatening asthma exacerbation, the first step is to stabilize the patient by improving oxygenation and relieving airway obstruction, not immediately calling 911 unless the situation worsens.
B. Intubation is not the first step unless the patient's respiratory status continues to deteriorate despite initial interventions. The focus should be on improving oxygenation and managing the airway.
C. Establishing IV access and administering emergency medications, such as corticosteroids or bronchodilators, may be necessary, but the first priority is to improve the patient's breathing and oxygenation.
D. Placing the patient in a high Fowler's position helps to open the airways and facilitate breathing. Starting oxygen therapy is essential to support oxygenation in a patient with labored breathing. This should be the first intervention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A room within view of the nurses' station does not provide the necessary isolation for a client with active tuberculosis. Tuberculosis is a contagious airborne disease, and isolation in a room with appropriate ventilation is essential.
B. A room with another nonsurgical client is not appropriate for a patient with active tuberculosis, as it could lead to the spread of the infection to another patient. Isolation in a room designed to prevent airborne transmission is necessary.
C. A room with air exhaust directly to the outdoor environment is the most appropriate choice. Tuberculosis is transmitted through airborne particles, so the client should be placed in a negative pressure room with exhaust ventilation that directs the air outside to prevent the spread of the infection.
D. A room in the ICU is not necessary unless the client requires intensive care. The primary concern is ensuring appropriate isolation, which can be achieved in a standard room with the proper ventilation, rather than an ICU setting.
Correct Answer is A
Explanation
A. Consolidation refers to the accumulation of inflammatory products, such as exudate, in the alveoli of the lungs, which is a hallmark finding in pneumonia. It appears as a dense, solid area on chest X-ray and indicates that the lung tissue has become filled with fluid, pus, and cellular debris.
B. Exudation is the process by which fluid and cells leak out of blood vessels into the surrounding tissues, which is part of the inflammatory response in pneumonia. However, consolidation is the specific diagnostic finding that results from exudation in pneumonia.
C. Pneumonia is the overall condition being described, but it is not the diagnostic finding itself. Consolidation is the key radiological and clinical finding in pneumonia.
D. Hemoptysis, or coughing up blood, can occur in some cases of pneumonia, but it is not a typical or defining diagnostic finding of pneumonia. It is more often associated with conditions like tuberculosis or lung cancer.
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