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What Assessment Finding Should The Nurse Identify That Indicates A Client With An Acute Asthma

exacerbation is beginning to improve after treatment? A) Wheezing becomes louder. B) Cough remains unproductive. C) Vesicular breath sounds decrease. D) Bronchodilators stimulate coughing.
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A) Wheezing becomes louder. In an acute asthma attack, air flow may be so significantly restricted that wheezing is diminished. If the client is successfully responding to bronchodilators and respiratory treatments, wheezing becomes louder (A) as air flow increases in the airways. As the airways open and mucous is mobilized in response to treatment, the cough becomes more productive, not (B). Vesicular sounds are soft, low-pitched, gentle, rustling sounds heard over lung fields (C) and is not an indicator of improvement during asthma treatment. Bronchodilators do not stimulate coughing (D).
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