Asthma hesi case study answers

Joshua's asthma appears to be under control until November when the weather temperature suddenly drops. He develops an upper respiratory tract infection, which triggers a severe asthma exacerbation. Joshua presents to the Emergency Department (ED). Joshua is sitting bent over with his arms extending across the bedside table.

After pulmonary function testing is performed, it is determined that Joshua has moderate persistent asthma and allergic rhinitis. Joshua returns to school with a note from his mother stating that he may not participate in recess on the playground. Joshua's mother asks the school nurse to explain the pulmonary function test.

Joshua's mother listed bronchitis as a current problem. Joshua receives albuterol (a β2-agonist) treatments four to five times a year in the emergency department for this condition and experiences temporary relief of symptoms. His mother limits him from running as a prevention strategy.

Acute asthma exacerbation precipitated by an upper respiratory infection, PEFR reading, medications given with response to treatment, and respiratory assessment. Which of the following nursing diagnoses best describes the underlying pathophysiologic process for a child with an acute asthma exacerbation?