💊 NCLEX-RN Exam Prep

A client presents to the emergency department with an acute asthma exacerbation. The nurse notes the client is using accessory muscles to breathe, is tachypneic, and has inspiratory and expiratory wheezes. Which additional assessment finding would be most concerning?

A Productive cough with clear sputum
B Mild anxiety about breathing
C Diminished or absent breath sounds
D Oxygen saturation of 92% on room air

✓ Correct Answer: Option C

Diminished or absent breath sounds in an asthma exacerbation indicate severe airway obstruction and impending respiratory failure. This is a critical sign that requires immediate intervention.

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