Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Mark is a 9-year-old Hispanic boy who has come into your emergency room complaining of “chest tightness” and “difficulty breathing.” You notice that he is frequently coughing, and his lungs sound very wheezy. His chest X ray shows lungs that are overexpanded. His mom said that he had five episodes like this one over the past few years, but none this bad. Recently, he’s had 5 episodes over the previous month, each lasting about a day.
-What is the most likely development and progression of Mark's asthma?

Question

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
  Mark is a 9-year-old Hispanic boy who has come into your emergency room complaining of “chest tightness” and “difficulty breathing.” You notice that he is frequently coughing, and his lungs sound very wheezy. His chest X ray shows lungs that are overexpanded. His mom said that he had five episodes like this one over the past few years, but none this bad. Recently, he’s had 5 episodes over the previous month, each lasting about a day.
-What is the most likely development and progression of Mark's asthma?

Quizplus · Accepted Answer

Mark's symptoms and history suggest that he may have asthma, which is typically characterized by an IgE-mediated response in which the lungs are hypersensitive to products of mast cell degranulation. This results in inflammation and constriction of the airways, causing symptoms such as wheezing, coughing, and difficulty breathing. The fact that Mark has had multiple episodes of symptoms over the past few years, with an increasing frequency over the past month, suggests that his asthma is progressing and becoming more severe.

Please Read the Clinical Scenario, and Then Answer the Question