Exhibits

The nurse has completed a client history and initial assessment and is now planning on prioritizing care of the client.

Complete the following sentences by choosing from the list of corresponding options

Based on the history and assessment data, the nurse should prioritize
dropdown
as the priority problem for this client, as evidenced by the client's statement,
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Rationale for Correct Choices

Option 1: Impaired gas exchange is the priority problem because the client's oxygen saturation is critically low at 88%, and the assessment reveals expiratory wheezes, rapid respirations (28/min), and severe shortness of breath. These indicate difficulty in maintaining adequate oxygenation.

Option 2: "I used my rescue inhaler three times, but I couldn’t catch my breath." This statement directly indicates that the asthma attack is unresponsive to the usual medication, highlighting the severity of the impaired gas exchange.

Rationale for Incorrect Choices

Option 1:

A. Anxiety: While anxiety may be present, it is a secondary issue caused by the asthma attack and is not the root cause of the client’s symptoms.

C. Ineffective airway clearance: Although wheezing suggests partial obstruction, the critical issue is the impaired oxygenation and low oxygen saturation rather than mucus or secretions obstructing the airway.

D. Activity intolerance: The client’s difficulty breathing is not primarily due to exertion but rather to the asthma attack itself.

Option 2:

A. "I was jogging when it started.": This identifies the trigger for the attack but does not explain the severity or lack of response to medication.

C. "My symptoms are worse when outdoors and when exercising.": This is helpful for identifying long-term triggers but does not prioritize the immediate issue of unrelieved shortness of breath.

D. "I noticed my inhaler was expired and was worried the medication was not working.": While this points to a lapse in medication management, it does not address the acute respiratory distress.

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Correct Answer is B

Explanation

Choice A reason: Massage therapy can help with relaxation and improving circulation in some cases, but it is not a primary intervention for managing PAD. Structured exercise is more effective in improving symptoms and overall cardiovascular health.

Choice B reason: Structured exercise is the most appropriate intervention for a client with PAD. Regular physical activity, especially walking, can help improve blood flow, reduce symptoms, and enhance overall cardiovascular health. It is recommended that clients with PAD engage in a supervised exercise program to ensure safety and effectiveness.

Choice C reason: A carnivore diet is not recommended for clients with PAD. A heart-healthy diet that includes a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats is more beneficial for managing PAD and reducing cardiovascular risk factors.

Choice D reason: Leg elevation can help reduce swelling and improve comfort, but it is not a primary intervention for managing PAD. Structured exercise has a more significant impact on improving blood flow and reducing symptoms.

A. an asthma attack that began after jogging through a local park B. able to answer questions every few words to catch his breath C. reports using his rescue inhaler three times, but he couldn't catch his breath D. symptoms are worse when outdoors E. episodes like this make him extremely nervous F. came to the ED today because he noticed his inhaler was expired

Correct Answer is ["B","C","F"]

Explanation

Rationale for correct answers:

"The client is able to answer questions every few words to catch his breath."
- Indicates severe shortness of breath, which requires immediate medical attention.
"He reports using his rescue inhaler three times, but he couldn't catch his breath."
- Demonstrates that his asthma attack is not responding to usual interventions, indicating the need for additional or advanced treatment.
"He says that it has been a couple of months since his last asthma attack, and he came to the ED today because he noticed his inhaler was expired and was worried the medication was not working."
- Highlights a lapse in medication management (expired inhaler), suggesting the need for health education and prescription renewal.

Rationale for incorrect answers:

"Episodes like this make him extremely nervous."
- While anxiety is relevant, it is a secondary issue compared to the physiological needs in this situation.
"The client presents to the emergency department (ED) for an asthma attack that began after jogging through a local park."
- The activity triggering the attack (jogging) is not an immediate factor needing intervention but rather an avoidable trigger to address long-term.
"He reports that his symptoms are worse when outdoors and when exercising."
- While important for identifying triggers, this is not an immediate priority for intervention in the emergency setting.

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Explanation

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Explanation

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