Difficulty: Medium
Average Score: 72%
Full-length
During the beginning shift assessment of a client with asthma who is receiving oxygen per nasal cannula at 2 liters per minute, the nurse would be most concerned about which unreported finding?
Correct answer
C
Rationale
Of the given findings this has the greatest risk for potential complications. Shallow and rapid respirations may indicate that the client is losing muscle strength required to breathe. The intermittent wheezes could be an indication of an increase in narrowed small airways and a worsening condition.