Final answer:
The nurse should report the respiratory rate of 34 breaths per minute and high pitched wheezing immediately, as these findings indicate a severe exacerbation of asthma.
Step-by-step explanation:
The nurse should report the respiratory rate of 34 breaths per minute and high pitched wheezing to the emergency department healthcare provider immediately. These findings indicate a severe exacerbation of asthma, which is a life-threatening condition that requires immediate medical attention.
Respiratory rate of 34 breaths per minute is significantly higher than the normal range (12-20 breaths per minute) and indicates respiratory distress. High pitched wheezing on inspiration and expiration indicates narrowing of the airways and decreased airflow, which can lead to inadequate oxygenation.
In a severe asthma exacerbation, prompt treatment is necessary to prevent respiratory failure and potential death. The healthcare provider may need to adjust medication therapy, administer bronchodilators and corticosteroids, and provide oxygen support as necessary.