Which data indicate a problem when assessing a client's respiratory status?

Which data indicate a problem when assessing a client's respiratory status?

• A. Respiratory rate of 20 breaths/min and deep breaths
• B. Respiratory rate of 14 breaths/min and normal sounds
• C. Respiratory rate of 28 breaths/min and audible wheezing
• D. Respiratory rate of 16 breaths/min and regular pattern

Answer: (C)

A respiratory rate of 28 breaths per minute, combined with audible wheezing, clearly indicates a problem in a client's respiratory status. A normal respiratory rate for adults typically ranges from 12 to 20 breaths per minute. When breathing exceeds this range, it can signify tachypnea, which may indicate respiratory distress or a potential underlying condition. Audible wheezing allows for further evaluation of the client's airway — it suggests that there may be bronchoconstriction or the presence of mucus blocking the airways, both of which can impede normal airflow and lead to compromised oxygenation. Other options reflect respiratory rates that fall within the normal range or are accompanied by normal sounds and patterns, indicating that those clients are likely stable.

A respiratory rate of 28 breaths per minute, combined with audible wheezing, clearly indicates a problem in a client's respiratory status. A normal respiratory rate for adults typically ranges from 12 to 20 breaths per minute. When breathing exceeds this range, it can signify tachypnea, which may indicate respiratory distress or a potential underlying condition.

Audible wheezing allows for further evaluation of the client's airway — it suggests that there may be bronchoconstriction or the presence of mucus blocking the airways, both of which can impede normal airflow and lead to compromised oxygenation. Other options reflect respiratory rates that fall within the normal range or are accompanied by normal sounds and patterns, indicating that those clients are likely stable.