The nursing instructor is observing a student nurse assess the ...

[AEWBW]

The nursing instructor is observing a student nurse assess the client's respiratory system. Which technique demonstrated by the student is the most appropriate?
 
  1. From base to apices of lungs.
  2. First up one side of the thorax, then up the other.
  3. First down one side of the thorax, then down the other.
  4. From side to side.

Question 2

The nurse is providing care to a client in the emergency department who received a breathing treatment earlier.
 
  The nurse is now preparing the client for a procedure and notes that the client is breathing in a shallow manner and the client's hands are trembling. Which action will help decrease the client's level of anxiety?
  1. The nurse should explain all procedures in a calm and reassuring voice.
  2. Request the immediate presence of the healthcare provider.
  3. Provide oxygen for the client.
  4. Postpone the procedure.

[jlaineee]

Answer to Question 1

Correct Answer: 4
Auscultation should follow the same pattern as for percussion, from side to side, because comparison of sounds is an important step in respiratory assessment. Auscultate through the entire respiratory cycle, inspiration and expiration. The student nurse should ask the client to breathe deeply through the mouth each time the stethoscope is placed on the chest. The usual movement is from apices to the bases.

Answer to Question 2

Correct Answer: 1
Clients experiencing anxiety may demonstrate trembling hands and a shallow breathing pattern. Certain drugs, such as bronchodilators, are used in the treatment of respiratory conditions and may cause the hands to tremble visibly. The nurse should not confuse this sign with nervousness. Even mild respiratory distress is frightening for the client and family. Proceeding in a calm and reassuring manner helps reduce the client's fear. At this time, there is no reason to request the presence of the healthcare provider. There is not enough information about the information to assume the client requires oxygen. The nurse does not need to postpone the procedure.

[AEWBW]

TYSM

[mjenn52]

Excellent