A client with asthma is describing their symptoms to a nurse. Which statement by the client suggests nighttime worsening of asthma?
"My asthma symptoms usually improve when I lie down to sleep."
"I wake up in the middle of the night with a cough and difficulty breathing."
"I rarely experience any asthma symptoms during the night."
"I have more energy and better lung function at night."
The Correct Answer is B
A) Incorrect. Improvement of asthma symptoms when lying down is not typical, and nighttime symptoms often worsen in asthma.
B) Correct. Waking up in the middle of the night with a cough and difficulty breathing is a common symptom of nighttime worsening in asthma.
C) Incorrect. While some individuals with asthma may not experience nighttime symptoms, this is not typical.
D) Incorrect. Improved lung function and increased energy at night are not characteristic of asthma; in fact, asthma symptoms often worsen at night.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Severe coughing can occur during an asthma attack but is not typically considered an early warning sign.
B) Correct. Wheezing is often an early sign of airway constriction and can precede other symptoms of an asthma attack.
C) Incorrect. Chest pain and discomfort are not typical early warning signs of asthma.
D) Incorrect. Difficulty speaking in full sentences is a more advanced symptom that may occur during an asthma attack.
Correct Answer is C
Explanation
A) Incorrect. Asthma is not primarily caused by bacterial infections.
B) Incorrect. While excess mucus can contribute to asthma symptoms, it is not the primary mechanism.
C) Correct. Asthma is characterized by chronic inflammation of the airways and increased reactivity, leading to airway narrowing and symptoms.
D) Incorrect. Asthma primarily involves airway inflammation and narrowing, not a lack of oxygen in the bloodstream.
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