med surg elsevier questions (100% correct solutions)

During an assessment of a 45-yr-old patient with asthma, the nurse notes wheezing and dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic change? a. Laryngospasm b. Pulmonary edema c. Narrowing of the airway d. Overdistention of the alveoli correct answers c. Narrowing of the airway A 45-yr-old man with asthma is brought to the emergency department by automobile. He is short of breath and appears frightened. During the initial nursing assessment, which clinical manifestation might be present as an early manifestation during an exacerbation of asthma? a. Anxiety b. Cyanosis c. Bradycardia d. Hypercapnia correct answers a. Anxiety The nurse is assigned to care for a patient who has anxiety and an exacerbation of asthma. What is the primary reason for the nurse to carefully inspect the chest wall of this patient? a.Allow time to calm the patient. b.Observe for signs of diaphoresis. c.Evaluate the use of intercostal muscles. d.Monitor the patient for bilateral chest expansion. correct answers c.Evaluate the use of intercostal muscles. Which position is most appropriate for the nurse to place a patient experiencing an asthma exacerbation? a.Supine b.Lithotomy c.High Fowler's d.Reverse Trendelenburg correct answers c.High Fowler's The nurse is caring for a patient with an acute exacerbation of asthma. After initial treatment, what finding indicates to the nurse that the patient's respiratory status is improving? a.Wheezing becomes louder. b.Cough remains nonproductive. c.Vesicular breath sounds decrease. d.Aerosol bronchodilators stimulate coughing. correct answers a.Wheezing becomes louder. The nurse identifies the nursing diagnosis of activity intolerance for a patient with asthma. In patients with asthma, the nurse assesses for which etiologic factor for this nursing diagnosis? Work of breathing Fear of suffocation Effects of medications Anxiety and restlessness correct answers Work of breathing