Which assessment finding in a client who has been medicated during an asthma attack indicates to you that the therapy should be modified?
A. Peak expiratory rate flow 10% below expected value
B. Presence of bilateral tactile fremitus
C. Suprasternal retraction on inhalation
D. Trachea at the midline
C
The location of the trachea and the presence of tactile fremitus are normal assessment findings. A 10% decrease of peak expiratory rate flow is not significant. Inhalation that causes suprasternal retraction usually means that the client with asthma is having difficulty moving air into the res-piratory passages because of airway narrowing and must use accessory muscles. The asthma is not responding to the medication, and the regimen should be changed.
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