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