What assessment finding indicates improvement in a child experiencing respiratory distress during an acute asthma episode?

The correct answer highlights the significance of decreased wheezing as an indicator of improvement in a child experiencing respiratory distress during an acute asthma episode. Wheezing is a high-pitched whistling sound produced during breathing, commonly associated with airway obstruction in asthma.

When wheezing decreases, it suggests that the airways are becoming less constricted and that the child may be experiencing an improvement in airflow and ventilation. This typically occurs as the bronchodilator treatment takes effect and relieves bronchospasm, allowing the child to breathe more easily. Thus, a decrease in wheezing is clinically viewed as a positive outcome, indicating a reduction in respiratory distress.

In contrast, increased shortness of breath would suggest worsening respiratory status, while increased wheezing indicates continued airway obstruction and distress. Persistent cyanosis, a bluish discoloration of the skin due to lack of oxygen, signifies severe respiratory compromise and would not be an indication of improvement.