[Solved]: Potential Nursing…

Potential Nursing ActionStatusRationaleAdministration of bronchodilators IndicatedBronchodilators relax airway smooth muscle. Encourage client to lie flat in the bed ContraindicatedLying flat in the bed increases resistance on the lungs. Encourage client to walk in the roomContraindicatedThe client is experiencing an asthma exacerbation and struggling to breathe. Walking around the room increases the oxygen need. Administer prescribed oxygenIndicatedBronchoconstriction contributes to decreased oxygenation and tissue perfusion. Administration of supplemental oxygen assists the client in compensating for the decreased oxygenation. Encourage oral fluids NonessentialThere is no indication that the client is dehydrated and providing oral fluids at this time is nonessential.