The nurse is performing a respiratory assessment on a client being treated for an asthma attack. The nurse determines that the client’s respiratory status is worsening based upon which finding? *1 pointLoud wheezingWheezing on expirationNoticeably diminished breath soundsIncreased displays of emotional apprehension
Question
The nurse is performing a respiratory assessment on a client being treated for an asthma attack. The nurse determines that the client’s respiratory status is worsening based upon which finding? *1 pointLoud wheezingWheezing on expirationNoticeably diminished breath soundsIncreased displays of emotional apprehension
Solution
The nurse would determine that the client's respiratory status is worsening based on the finding of noticeably diminished breath sounds.
Here's why:
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Loud wheezing: While wheezing is a common symptom in asthma patients, it doesn't necessarily indicate a worsening condition. It's a high-pitched whistling sound caused by narrowed airways.
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Wheezing on expiration: This is also a common symptom in asthma patients. It happens when the airways are constricted, making it difficult for air to flow out of the lungs. However, it doesn't necessarily mean the condition is worsening.
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Noticeably diminished breath sounds: This is a serious sign that the patient's condition is worsening. Diminished or absent breath sounds mean that less air is moving through the airways, which could indicate a severe asthma attack or respiratory failure.
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Increased displays of emotional apprehension: While anxiety can exacerbate asthma symptoms, it's not a reliable indicator of the patient's respiratory status. It's more of a psychological response rather than a physical symptom.
Therefore, noticeably diminished breath sounds would be the most reliable indicator that the client's respiratory status is worsening.
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