Based on the information provided, what is the most appropriate initial nursing action?
Increase the oxygen flow rate.
Administer an additional dose of furosemide.
Notify the healthcare provider.
Reposition the client to a high Fowler’s position.
The Correct Answer is D
Choice A rationale:
Increasing the oxygen flow rate may help improve oxygen saturation, but it does not address the underlying issue of fluid overload and heart failure exacerbation.
Choice B rationale:
Administering an additional dose of furosemide may help reduce fluid overload, but it is not the most immediate action to improve the client’s respiratory status and comfort.
Choice C rationale:
Notifying the healthcare provider is important, but the nurse should first take immediate action to improve the client’s respiratory status and comfort.
Choice D rationale:
Repositioning the client to a high Fowler’s position is the most appropriate initial nursing action. This position helps improve lung expansion and reduces the work of breathing, providing immediate relief for the client experiencing dyspnea and respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale
Hypotension is not a common manifestation of hypoxemia during an asthma attack.
Choice B rationale
Dysphagia is not a common manifestation of hypoxemia during an asthma attack.
Choice C rationale
Nausea is not a common manifestation of hypoxemia during an asthma attack.
Choice D rationale
Agitation is a common manifestation of hypoxemia during an asthma attack. Hypoxemia can cause restlessness and agitation due to the lack of oxygen in the body.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Budesonide via dry-powder inhaler is a corticosteroid used for long-term control of asthma. It is not effective for immediate relief of acute asthma exacerbations.
Choice B rationale
Cromolyn via metered-dose inhaler is a mast cell stabilizer used for long-term control of asthma. It is not effective for immediate relief of acute asthma exacerbations.
Choice C rationale
Albuterol via jet nebulizer is a short-acting beta-adrenergic agonist that provides rapid bronchodilation. It is the medication of choice for immediate relief of acute asthma exacerbations.
Choice D rationale
Montelukast orally is a leukotriene receptor antagonist used for long-term control of asthma. It is not effective for immediate relief of acute asthma exacerbations. .
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