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In evaluating teaching priorities for a client with asthma, the first step is to consider what lung sounds indicate about current status and what is most actionable for patient teaching.
Option 1: Resonant sounds. Resonant (normal) breath sounds suggest that there is no acute deviation in airway function at the moment, which often serves as a baseline for teaching clients about recognizing normal versus abnormal findings and for reinforcing correct inhaler technique and self-monitoring strategies. This makes it a strong focal point for foundational teaching.
Option 2: Hyper-resonant sounds. Hyper-resonance can indicate air trapping or overdistention of the lungs, which may occur in asthma during an acute exacerbation or with prolonged poor ventilation. While important to recognize, it is a finding that signals potential deterioration and may require urgent assessment rather than routine teaching; if addressed too early in a teaching plan, it could overemphasize a warning sign rather than enabling day-to-day management education.
Option 3: Flat sounds. Flat or hypo- or absent breath sounds can occur with severe atelectasis or pneumothorax and generally indicate a serious issue that needs immediate clinical evaluation rather than the core educational priority for an asthma teaching plan.
Option 4: Dull sounds. Dullness to percussion or auscultation often suggests consolidation or pleural effusion, conditions not typical of uncomplicated asthma and generally outside the main scope of standard asthma self-management education unless coexisting pathology is present.
Overall, the teaching plan for asthma prioritizes reinforcing normal baseline lung findings (resonant sounds) to establish what is typical for the client, enabling accurate self-monitoring, correct inhaler technique, and timely recognition of deviations that would prompt medical review. This makes the resonant sounds option the most appropriate teaching point to emphasize in routine planning.

2025-HS1-NUR20005-Acute Nursing Care-H1 Quiz 2 - Module 3 Respiratory system

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