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    Wgu rn hesi health assessment proctored exam

    A client arriving to the emergency department reports trouble breathing and tightness in the chest that started while exercising at the gym. The nurse observes the client is afebrile, heart rate 96 beats/minute, respirations 32 breaths/minute, and pulse oximeter reading of 85%. Audible wheezing is heard on expiration with a decrease in tactile fremitus and bilateral breath sounds. The client displays intercostal retracting and prolonged expirations. Based on the findings, the nurse should recognize the client is exhibiting symptoms of which condition?

    Explanation & Rationale

    A. Pneumonia would typically present with fever, chills, productive cough, and consolidation on physical exam. B. The client's symptoms, such as trouble breathing, tightness in the chest, wheezing on expiration, prolonged expirations, and low oxygen saturation, suggest an acute asthma exacerbation. Asthma is often triggered by exercise and is characterized by wheezing, tightness in the chest, and difficulty breathing. C. Bronchitis would present with a persistent cough and sputum production, not necessarily with wheezing and a drop in oxygen saturation. D. Pneumothorax presents with sudden chest pain and dyspnea, often with a collapsed lung on one side, leading to unequal breath sounds and a shift in the mediastinum.

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