Which of the following characteristics would be expected of a patient with life-threatening asthma?
Patients show some respiratory distress, often sitting forward to open their airways.
The chest may be silent, as air cannot enter or leave the lungs; signs of systemic hypoxia may be present.
On auscultation, a bilateral, expiratory wheeze is heard.
The patient may exhibit a fine tremor in the hands due to albuterol use, along with mild tachycardia.
The Correct Answer is B
Choice A reason: Sitting forward and showing respiratory distress is typical of moderate asthma exacerbations, not life-threatening asthma. Patients are still able to move air in and out of the lungs.
Choice B reason: This is correct. Life-threatening asthma can present with a silent chest on auscultation due to severely reduced airflow. This is a medical emergency, often accompanied by hypoxia, cyanosis, or altered mental status.
Choice C reason: Bilateral expiratory wheezing is more common in mild to moderate asthma attacks. In severe cases, wheezing may be absent because airflow is critically limited.
Choice D reason: Tremor and mild tachycardia are side effects of beta-agonist therapy, not specific indicators of life-threatening asthma. They are more indicative of medication use than disease severity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Sitting forward and showing respiratory distress is typical of moderate asthma exacerbations, not life-threatening asthma. Patients are still able to move air in and out of the lungs.
Choice B reason: This is correct. Life-threatening asthma can present with a silent chest on auscultation due to severely reduced airflow. This is a medical emergency, often accompanied by hypoxia, cyanosis, or altered mental status.
Choice C reason: Bilateral expiratory wheezing is more common in mild to moderate asthma attacks. In severe cases, wheezing may be absent because airflow is critically limited.
Choice D reason: Tremor and mild tachycardia are side effects of beta-agonist therapy, not specific indicators of life-threatening asthma. They are more indicative of medication use than disease severity.
Correct Answer is A
Explanation
Choice A reason: EMDR is an evidence-based psychotherapy specifically indicated for PTSD. It involves processing traumatic memories using bilateral stimulation to reduce distress and emotional reactivity.
Choice B reason: Primal scream therapy is largely unscientific and lacks strong evidence for PTSD treatment; it focuses on emotional catharsis but does not systematically address trauma.
Choice C reason: Hypnotherapy may help with relaxation or suggestion but is not the primary evidence-based treatment for PTSD and does not reliably reduce flashbacks or nightmares.
Choice D reason: Psychodrama involves role-playing past events but is less structured and evidence-supported compared to EMDR in PTSD treatment.
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