Question

A young child with a history of bronchial asthma is brought to the emergency department for the second time in a month with symptoms of audible expiratory wheezing and intercostal retractions. the parents voice frustration about repeated hospital visits. what information is most important for the nurse to address with the parents?

Answer 1

The nurse should address the importance of parents not smoking inside their home so that the child has fewer seizures and needs less to go to the hospital.

Step-by-step explanation:

Sybils are sounds that come when a person is breathing hard. This occurs there is some airway blockage. The child shown in the above question has audible expiratory wheezes, showing that they have severe breathing difficulties. In addition, the child has intercostal retractions that are caused by decreased air pressure within the chest, which is also caused by difficulty breathing.

It is important that the home that this child lives in do not have things that can trigger these respiratory crises, such as pet dander, dust and smokers. For this reason, the businesswoman should communicate with the child's parents the importance of them not being smokers, so that the child has less crisis.

Answer 2

In case of a child getting affected by the acute respiratory issues the nurse must first observe the child for signs of increasing respiratory distress, especially vital signs, altered mental status, and audible wheezing on auscultation. The changes in the sound of the breathe must be monitored regularly which will give an indication of an object moving and blocking the bronchus. Document the details of the pattern observed and make a status report. Attach the child to a cardiorespiratory monitor and pulse oximeter to detect the amount of hemoglobin saturated with oxygen to assess the child for sign of increasing hypoxia.