Asthma Case Study


Prepare your students for licensure and real-world practice with this salient scenario that contextualizes nursing care and priority setting with a pediatric patient with an asthmatic exacerbation.

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Case Study Scenario:

Jared Johnson is a 10 year-old African-American boy with a history of moderate persistent asthma…In the walk-in clinic Jared is alert, speaking in short sentences due to breathlessness at rest. He has coarse expiratory wheezes throughout both lung fields with decreased breath sounds at the right base.  His oxygen saturation on room air is 90%. His color is ashen and he has dark circles under his eyes. He is sitting upright and using his accessory chest muscles to breath and has moderate intercostal and substernal retractions.  He is complaining of tightness in his chest. Jared was diagnosed with asthma at age 6 years and has three prior hospitalizations for asthma with one admission to the pediatric intensive care unit. He has never had to be intubated with these episodes. 

Key Components:

1. Develop Critical Thinking

  • By applying and using knowledge most important to practice

2. Develop Clinical Reasoning

  • By recognizing relevant clinical data to identify the nursing priority

3. Develop Clinical Judgment

  • Outcome when student interprets, notices, and responds appropriately

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