An 84-year-old male client is admitted for severe dyspnea. Which nursing intervention should the nurse perform initially?
a. Administer humidified oxygen via mask at 8 liters per minute while performing the health history and physical assessment.
b. Notify the health care provider of the client's condition immediately.
c. Place the client in Fowler's or a forward-leaning position over a padded, raised overbed table with arms and head resting on the table.
d. Start intravenous normal saline solution at a keep vein open rate for the anticipated administration of emergency medications.
Question 2
Which of these respiratory assessments would be normal for a 24-year-old client?
a. exhibits costal, sternal, and subclavicular retractions with nasal flaring at a rate of 28 per minute, and complains of shortness of breath
b. exhibits very shallow respirations at a rate of 8 per minute
c. uses abdominal muscles at a rate of 12 per minute, without complaints of dizziness
d. uses thoracic muscles at a rate of 18 per minute
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