medium · NCLEX-RN Physiological Adaptation

The nurse is monitoring a client with an acute exacerbation of asthma.

Which finding is the most concerning sign of impending respiratory failure?

  1. The chest sounds 'silent' with no audible wheezing
  2. The client is using the sternocleidomastoid muscles to breathe
  3. Loud, high-pitched wheezing heard during expiration
  4. The client's peak flow is 60% of their personal best

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