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ASTHMA NGN CASE STUDY EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
LATEST UPDATE
12 year old male arrives with his parents after playing outside with friends
and
Nurses Note suddenly developes shortness of breath. The clients mother
believes he is having an asthma attack. He has a medical history
of asthma, insulin dependent diabetes mellitus and is current on
all immunizations. No known allergies.
Oral Temp: 99
Pulse: 114
Vitals Signs Respirations:
26 BP: 107/76
O2: 89
Client is alert an fully oriented. Anxious and uable to repsond
in full sentences. Appears in sig distress. Peripheral pulses were
Assessment palpable. Skin was cool and dry to touch. Respirations were
labored with audible wheezes and expiratory stridor.
Tachypnea and use of accessory muslces. Frequent, non-
productive cough. Active bowel sounds in all quadrants.
Client reported no pain.
Airway hyperresponsiveness
The nurse understands which
pathological process best explains
Explains asthma disease process as both bronchoconstiction,
the client's findings?
thereby decreasing gas exchange.
bronchospasm
The client is most likely experiencing
_______________________________.
administering supplemental oxygen
The nurse should take
immediate action by and respiratory arrest.
prevent the most serious
complication of___.
Indicate whether the order is 1. Anticipated
anticipated or not. 2. Not anticipated
3. Not anticipated
1. Albuterol via nebulizer 4. Anticipated
2. Blood cultures
3. Broad spectrum antibiotics
4. IV corticosteroids
Upon reassessent, the client's Magnesium sulfate
respiratory status has not
changed. The nurse
anticipates that the physician
will prescribe which
medication?
1/
2