Which of the Following Assessment Findings Would Indicate Immediate Action

question 6

Multiple Choice

Which of the following assessment findings would indicate immediate action by the nurse for a patient with asthma? Select all that apply.

• A)tachycardia, tachypnea, prolonged expirations
• B)diffuse wheezing and the use of accessory muscles when inhaling
• C)retractions, fatigue, anxiety
• D)inaudible breath sounds, reduced wheezing
• E)an ineffective cough

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Definitions:

Sleep

A naturally recurring state of mind and body characterized by altered consciousness, relatively inhibited sensory activity, reduced muscle activity, and inhibition of nearly all voluntary muscles during rapid eye movement (REM) and non-REM stages.

NREM Sleep

A type of sleep characterized by non-rapid eye movement, encompassing stages 1-3 of the sleep cycle.

Delta Waves

Slow, high amplitude brainwaves associated with the deepest stages of sleep and meditative states.

Slow Brain Waves

Brain waves with a low frequency, typically associated with deep sleep, meditation, and states of relaxation.