The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding suggests that the child's condition is worsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
A
The nurse would assess the child for signs of hypoxia, including restlessness, fatigue, irritability, and increased heart and respiratory rate. As the child tires from the increased work of breathing hypoventilation occurs leading to increased carbon dioxide levels. The nurse would be alert for signs of hypoxia. Thirst would reflect the child's hydration status. Bradycardia is not a sign of hypoxia; tachycardia is. Clubbing develops over a period of months in response to hypoxia. The presence of clubbing does not indicate the child's condition is worsening.
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