RN HESI PAEDIATRICS Exam 2
RN HESI PAEDIATRICS Exam 2 ( 48 Questions)
.The nurse is caring for a school-age child presenting to the emergency department with frequent productive coughing, chest tightness, and shortness of breath. Significant inspiratory and expiratory wheezing is auscultated bilaterally. Which finding should the nurse expect after administering a prescribed dose of albuterol?
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Use of accessory muscles is not expected. Use of accessory muscles indicates respiratory distress, which should improve with albuterol administration, but it's not a direct result of bronchodilation.
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Non-productive coughing is not expected: Albuterol is not typically associated with changes in the character of coughing. Its main effect is on bronchodilation.
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Increased PaCO2 level is not expected: Albuterol's bronchodilator effects are expected to improve ventilation and gas exchange, which would likely lead to a decrease in PaCO2 levels rather than an increase
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Slight expiratory wheezing is the correct expectation. Albuterol is a bronchodilator commonly used to relieve bronchoconstriction and improve airflow in conditions like asthma. Wheezing is a characteristic sound caused by narrowing of the airways, and albuterol's bronchodilator effects are expected to help alleviate this constriction, leading to a reduction in wheezing. In this scenario, since the child is experiencing expiratory wheezing, a slight reduction or resolution of expiratory wheezing is a positive outcome after albuterol administration.
