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Pediatric outpatient clinic · Fictional client

A Child With Worsening Wheeze at the Clinic

A 7-year-old with a known history of asthma is brought to the pediatric clinic by a caregiver after two days of cough that has become worse today, with audible wheeze noticed at home.

Review status: Draft. This NCLEX-PN content has not been reviewed by a licensed nursing professional. LPN/VN scope of practice varies by state, setting and facility policy; always follow your program, your state's nurse practice act and your facility's policies.

What this case practices

  • Collecting data that shows increasing respiratory distress in a child
  • Recognizing signs that mean a child needs urgent escalation
  • Giving a metered-dose inhaler with a spacer per order
  • Reinforcing caregiver teaching on asthma triggers and action plans

Client Needs areas

Educational Use & Safety

Educational exam preparation only. Questions and case studies use fictional clients and teach general nursing concepts. They are not medical advice and do not determine care for an actual patient. Always follow current clinical guidance, provider orders, and your program's and facility's policies.

Educational Use & Safety