*NURSING > QUESTIONS & ANSWERS > PALS - Team Response Scenario: Maya Kwan COMPLETE SOLUTION 2022 (All)
PALS - Team Response Scenario: Maya Kwan COMPLETE SOLUTION 2022 The team notes the following in the patient's chart:Airway: Patent airwayBreathing: Respiratory rate of 28; retractions with breathi... ng; breath sounds present in all fields, wheezing ad prolonged expiration noted throughout; oxygen saturation of 92%Circulation: No cyanosis/pallor noted; heart rate of 116; blood pressure 102/61; skin warm and dryDisability: AlertExposure: Temperature 101° F (38.3° C); weight 44 poundsBased on the rapid and primary assessment findings recorded in the patient chart and the grandparent's verbalizations, the team recognizes that Maya is experiencing a _____ asthma exacerbation. - ✔✔Maya is experiencing a moderate exacerbation of asthma. The team should start treatment to relieve her symptoms. Joanne instructs the team to achieve IV access and administer acetaminophen, PO, to treat Maya's fever. Which first-line asthma medication would she order to administer to Maya immediately? - ✔✔Albuterol via nebulized solution. After the first dose of albuterol is administered and a PEF is performed, Jeremy reassesses Maya and records the findings in Maya's chart. He then interviews Maya's grandparents to collect focused history data. Match the statements given by Maya's grandparents to the correct part of the focused history (SAMPLE). - ✔✔1. When she was 3, Maya broke out in hives once after she ate scrambled eggs. A 2. She was diagnosed with asthma last year. P 3. Now that I think of it, she was more tired than usual yesterday, and had a cough here and there. And she had little energy at the park today; that's definitely not like her! E 4. Maya takes multivitamin every day and she uses an inhaler when she needs it. I'm sorry, I can't remember the name of the medication. I can call her dad and ask if you'd like. M 5. She felt a little warm when we got home from the park. We made her dinner, but she didn't feel like eating. Maybe because she was having a hard time breathing? [Show More]
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