[Solved]: The nurse is documenting the initial encounter on a…

The nurse is documenting the initial encounter on a 9 year old client in the ER. Select to highlight the findings that the nurse should address immediately. Select all that apply. Client is awake and alerty, sitting in the ER bed. Normal S1 and S2 sounds, no murmur. Normoactive bowel sounds. Expiratory wheezes heard bilaterally, prolonged expiratory phase. Mild intercostal retractions. Nonproductive, dry cough. Client coughing frequently. Pulses 2+ in all four extremities, capillary refill time less than 3 seconds. Moves all four extremities with adequate strength and tone. Pupils equal, round, reactive to light. Clear nasal discharge. Pharynx erythematous, but no purulent exudate seen. Dad at bedtime. Client drinking juice. Placed call light withing reach. Bed rails raised x1. Temp 99.2 HR 75 bpm RR 30 breaths/min SpO2 92% on room air BP 105/72 mm Hg The nurse just received a set of client care providers. The nurse is providing discharge education to the client and his father. Which of the following are appropriate items to include in this client’s dischage education. Select all that apply. Give the client a spacer or aerochamber to use at home when taking inhaled medications Instruct the client to use his peak flow meter once a week Provide the client and his father with an asthma action plan and review instructions based on color zones Encourage the client to use his albuterol twice a day Educate the client to avoid known asthma triggers, such as cold air, smoke or pet dander Encourage proper diet and exercise and limiting screen time Instruct the client and his father to maintain all follow up pulmonologist appointments, including periodic pulmonary function tests Ensure that the client has an extra budesomide formoteral inhaler that he can take with him to sports practices in case he starts experiencing symptoms