The nurse assessing the 6-year-old male client who had an asthma attack. The initial actions were performed on admission to stabilize the child’s respiratory status.
For each assessment finding, indicate whether the intervention was Effective (helped to meet the expected outcomes), Ineffective (did not help to meet expected outcomes), or Unrelated (not related to the expected outcomes).
Group of answer choices
Oxygen saturation = 94%
[ Choose ] Unrelated Effective Ineffective
Child playing quietly on electronic device
[ Choose ] Unrelated Effective Ineffective
Heart rate = 121 beats/min
[ Choose ] Unrelated Effective Ineffective
Respirations = 26 breaths/min
[ Choose ] Unrelated Effective Ineffective
Blood pressure = 108/66 mm Hg (sitting)
[ Choose ] Unrelated Effective Ineffective
Temperature = 99.4
[ Choose ] Unrelated Effective Ineffective
Intermittent wheezing in lower lobes bilaterally
[ Choose ] Unrelated Effective Ineffective