Sara has been admitted to the unit for asthma exacerbation. Which assessment findings are commonly associated with asthma exacerbation? (Select all that apply)
Bradypnea
Wheezing
Bradycardia
Use of accessory muscles for breathing
Decreased oxygen saturation
Correct Answer : B,D,E
Choice A reason: Bradypnea (slow breathing) isn’t typical in asthma exacerbation; tachypnea occurs due to airway obstruction. Reduced respiratory rate suggests fatigue or resolution, not active exacerbation, contradicting the physiology of acute bronchoconstriction.
Choice B reason: Wheezing results from turbulent airflow through narrowed bronchioles in asthma exacerbation. It’s a hallmark sign, reflecting reversible obstruction from inflammation and bronchospasm, consistently present during acute episodes requiring intervention.
Choice C reason: Bradycardia isn’t associated with asthma exacerbation; tachycardia is common from hypoxia and stress. Slow heart rate may indicate severe hypoxia late-stage, but it’s not a typical finding in active exacerbation.
Choice D reason: Accessory muscle use (e.g., sternocleidomastoid) compensates for obstructed airflow in asthma exacerbation. It reflects increased work of breathing due to bronchoconstriction, a frequent physical sign during acute respiratory distress.
Choice E reason: Decreased oxygen saturation occurs in asthma exacerbation from ventilation-perfusion mismatch. Inflamed airways limit oxygen delivery, dropping SpO2 below 95%, a common finding necessitating bronchodilators and oxygen therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Decreased dyspnea and orthopnea reflect improved lung fluid clearance in heart failure. These symptoms lessen with reduced preload and better cardiac output, key goals indicating effective management and patient comfort.
Choice B reason: HgA1C <7 targets diabetes, not heart failure directly. While glycemic control benefits vasculature, it’s not a primary outcome measure for heart failure, which focuses on fluid and pump function instead.
Choice C reason: Reduced peripheral edema shows less fluid retention, a heart failure goal. It results from improved cardiac output and diuresis, alleviating discomfort and signaling successful treatment of volume overload.
Choice D reason: Stabilized or decreased BNP (<100 pg/mL ideally) indicates lower cardiac stress in heart failure. This biomarker drops with reduced wall tension, reflecting effective therapy and a key outcome measure.
Correct Answer is C
Explanation
Choice A reason: Cyanosis requires deoxygenated hemoglobin, not typical in anemia unless hypoxia coexists. Hypertension isn’t linked; anemia often lowers pressure from reduced viscosity, making this pair unlikely in severe cases.
Choice B reason: Pulmonary edema and fibrosis stem from heart or lung disease, not anemia directly. Low hemoglobin reduces oxygen delivery, but these reflect fluid or scarring, not primary anemic findings.
Choice C reason: Dyspnea and tachycardia occur in severe anemia as low hemoglobin limits oxygen transport. The heart compensates with faster beats, and lungs work harder, matching physiologic response to tissue hypoxia.
Choice D reason: Dysrhythmias may occur late in anemia from hypoxia, but wheezing suggests airway issues, not anemia. These aren’t primary findings; respiratory and cardiac strain manifest differently in this condition.
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