A client arrives in the emergency room stating inability to sleep,tightness in the chest,and difficulty breathing.Upon assessment,the nurse notes expiratory wheezes and dyspnea.Which action should the nurse take?
A)Administer oxygen via a Venturi mask,and initiate pulse oximetry monitoring until a health care provider is available to evaluate the client.
B)Allow the client to rest in the waiting area because the condition does not require immediate attention.
C)Find a health care provider who can immediately evaluate the client because symptoms indicate a severe asthma attack.
D)Notify a health care provider stat because the client requires immediate treatment for myocardial infarction and transfer to the cardiac care unit.

Question

Quizplus · Accepted Answer

The principal manifestations of asthma are the sudden onset of wheezing,increasing dyspnea,and chest tightness;initial increase in respiratory rate,which decreases as the client tires;and use of accessory muscles to aid respiration.Cough,cyanosis,increased blood pressure and heart rate,and anxiety may also occur.The client needs to be evaluated by a health care provider immediately.

A Client Arrives in the Emergency Room Stating Inability to Sleep,tightness