Pediatric Asthma Case Study Answers
L.S. is a 7-year-old who is being directly admitted to your unit from his pediatrician’s
office. His mother has brought him directly to the unit without stopping to admit him. She
immediately tells you that she is a single parent and has 2 other children at home with a
babysitter. Your assessment finds L.S. alert, oriented, and extremely anxious. His color
is pale, and his nail beds are dusky and cool to the touch; other findings are heart rate
136 beats/min, respiratory rate 36 breaths/min regular and even, oral temperature 37.3°
92%, breath sounds decreased in lower lobes bilaterally and congested with
inspiratory and expiratory wheezes, prolonged expirations.
As you ask Mrs. S. questions, you note that L.S.’s respiratory rate is increasing; he is
sitting on the side of the bed, leaning slightly forward, and is having difficulty breathing. What
should your immediate nursing care include?