The nurse performing a brief physical assessment of an anxious client with asthma would carefully inspect the chest wall primarily to
a. evaluate the use of intercostal muscles.
b. gain time to calm the client.
c. observe the client for diaphoresis.
d. verify bilateral chest expansion.
A
The ongoing assessment of an asthmatic client includes evaluation of the accessory muscles of respiration. The nurse should assess the client frequently, observing the respiratory rate and depth. The breathing pattern is assessed for shortness of breath, pursed-lip breathing, nasal flaring, sternal and intercostal retractions, and a prolonged expiratory phase.
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