Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)
Patient color
Lung sounds
Heart tones
Bowel sounds
Peripheral pulses
Respiratory rate and effort
Pulse oximetry reading
Peak expiratory flow
Correct Answer : A,B,C,F,G,H
A. The patient's color can indicate their oxygenation status. Cyanosis (bluish tint) may suggest hypoxia, which is critical to assess in an asthma patient.
B. Auscultation of lung sounds is essential in asthma assessment. The presence of wheezing, prolonged expiration, or decreased breath sounds can indicate airway obstruction and the severity of the asthma exacerbation.
C. Assessing heart tones can provide information about the cardiovascular response to respiratory distress. Increased heart rate may occur due to hypoxia or anxiety associated with asthma attacks.
D. Bowel sounds are not relevant in the assessment of asthma. While gastrointestinal symptoms may co- occur in some patients, they are not directly related to asthma's respiratory condition.
E. While peripheral pulses are important in general assessments, they do not provide specific information relevant to asthma management or respiratory status.
F. Monitoring respiratory rate and effort is crucial in assessing asthma. Increased respiratory rate and use of accessory muscles may indicate respiratory distress or an asthma exacerbation.
G. A pulse oximetry reading provides an objective measure of oxygen saturation. Low oxygen saturation levels indicate inadequate oxygenation, which is critical to monitor in asthma patients.
H. Measuring peak expiratory flow rate (PEFR) helps assess the severity of airway obstruction and monitor asthma control. It can guide treatment decisions and determine if an asthma attack is occurring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.4"]
Explanation
1 pound is approximately 0.453592 kilograms.
25 pounds * 0.453592 kg/pound = 11.3398 kg Calculate the total daily dosage:
15 mg/kg/12 hours * 11.3398 kg = 170.097 mg/12 hours
170.097 mg/12 hours * 2 doses/day = 340.194 mg/day Determine the amount of elixir needed per dose:
250 mg/5 mL = 50 mg/mL (strength of the elixir)
340.194 mg/day ÷ 2 doses/day = 170.097 mg/dose
170.097 mg/dose ÷ 50 mg/mL = 3.4 mL/dose
Correct Answer is D
Explanation
A. Bradypnea, or a slow respiratory rate, is concerning but not typically associated with asthma exacerbations. In asthma, patients usually experience tachypnea (increased respiratory rate) as they try to compensate for difficulty breathing.
B. A decreased respiratory rate in an asthma patient can be alarming, but it may not necessarily indicate an immediate need for intervention unless it’s associated with other severe symptoms. In general, asthma patients often have an increased respiratory rate due to respiratory distress.
C. While crackles can indicate fluid in the lungs and may suggest an underlying issue, they are not the most immediate concern in a patient with asthma. Crackles can occur in various conditions, and they alone may not necessitate urgent intervention.
D. Diminished breath sounds are a critical finding in asthma patients. This may indicate severe airway obstruction or a lack of air movement due to severe bronchospasm. In the context of asthma, diminished breath sounds can signify that the patient is not able to move air effectively, which requires immediate intervention to prevent respiratory failure.
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