NCLEX-RN

Category - Physiological

A client comes to the emergency room complaining of severe dyspnea. On assessment, significant wheezing is found both on inspiration and expiration. The immediate action of the nurse is which of the following?
  1. Initiate intubation
  2. Administration of oxygen
  3. Administration of inhaled beta-adrenergic agents, as ordered
  4. Administration of inhaled corticosteroids, as ordered
Explanation
Answer: C - The initial action of the nurse is to administer an inhaled beta-adrenergic agent, which acts as a bronchodilator. The administration of oxygen is not useful with unrelieved bronchospasm. Administration of inhaled corticosteroids is given after the administration of beta-adrenergics.
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