Q1. A 3-year-old child with asthma is admitted with increased wheezing, tachypnea (40 breaths/min), and oxygen saturation of 89% on room air. The provider orders nebulized albuterol every 20 minutes for 3 doses. After the first dose, the nurse notes respiratory rate 32 breaths/min, pulse oximetry 92%, and decreased accessory muscle use. Which assessment best indicates the medication is effective?

• ○Decreased wheezing and improved oxygen saturation
• ○Increased heart rate and restlessness
• ○Persistent tachypnea and nasal flaring
• ○Worsening cough and decreased breath sounds