Question

9:38 PM l AT&T tony is an 11-year old boy who has come tony is an 11-year-old boy who has come to a local walk-in clinic with his mother. he is having difficulty breathing with audible high-pitched wheezing. during the nursing assessment you observe that he becomes quickly fatigued and very short of breath while answering your questions. his mother reports that tony was at the petting zoo that morning on a school retreat and sin ce has developed worsening asthma symptoms. before coming to the clinic, tony used his flovent (fluticasone) puffer but the symptoms X did not alleviate. his mother tells the nurse that tony has a blue puffer as well as the orange flovent puffer but has not used the blue puffer today while auscultating tony's lungs, the nurse hears expiratory wheezes throughout and decreased breath sounds into the bases. his vital signs are as follows: blood pressure 110/82; pulse 116; respiratory rate 39; oxygen saturation on room air is 88%. tony is started on a beta-adrenergic agonist (B2-agonist), salbutamol (ventolin) nebulizer and 10l of oxygen via face mask.

Answer 1

What is the highest priority nursing treatment for Tony? Explain your answer. 3- The nurse should immediately allow Tony to sit in an upright position and loosen the clothing. The beta-2 agonist (bronchodilator) agonist such as salbutamol or albuterol must be provided in the inhaler form to relieve the symptoms of difficulty in breathing and wheezes Beta-2 agonist is recommendeed because, it is mentioned that Tony did not take one of his two medications prescribed. He took fluticasone, which is a steroidal anti-inflammatory drug, but it do not cause bronchodilation. So, giving a bronchodilator helps Tony.