Asthma for Certified Emergency Nursing (CEN)

At 3 am, a 13-year-old girl is brought to the ED by her mother because of coughing and severe dyspnea. Her medical history reveals allergic rhinitis and eczema since early childhood. The nurse notes that the patient is wheezing and talking with effort. When questioned about precipitating factors, the mother states that her daughter had put on a new acrylic sweater to go to a makeup demonstration at a friend’s house the previous evening and that she also had worn a new down jacket, which she is wearing now. The physician diagnoses acute asthmatic attack. Which term best describes the type of asthma precipitated by a known allergen?

When auscultating a patient, the nurse notes decreased vesicular breath sounds. This is an indication of:

The nurse would suspect dyspnea in a patient with a stab wound in the left upper abdominal quadrant to result from:

The nurse would assess the following ABG: pH 7.38, PaO2 83, SaO2 96%, CO2 37, HCO3 25 as:

Which of the following is likely to contribute to the onset of acute extrinsic asthma attack?

At 3 am, a 13-year-old girl is brought to the ED by her mother because of coughing and severe dyspnea. Her medical history reveals allergic rhinitis and eczema since early childhood. The nurse notes that the patient is wheezing and talking with effort. When questioned about precipitating factors, the mother states that her daughter had put on a new acrylic sweater to go to a makeup demonstration at a friend’s house the previous evening and that she also had worn a new down jacket, which she is wearing now. The physician diagnoses acute asthmatic attack. Which term best describes the type of asthma precipitated by a known allergen?

When writing discharge instructions for a patient diagnosed with an acute asthmatic episode, the nurse should include information on the importance of:

The patient complains of increased dyspnea and tightnessin her chest. The nurse knows that these symptoms of asthma may result from all of the following except:

At 3 am, a 13-year-old girl is brought to the ED by her mother because of coughing and severe dyspnea. The physician diagnoses acute asthma attack. Which additional findings would the nurse expect to note during assessment of this patient?

The physician diagnoses a 19-year-old male with acute asthma attack. Which early treatment is likely to improve this patient’s condition most rapidly?