Author Question: The client reports to the nurse that he is feeling suddenly short of breath. The nurse displays ... (Read 107 times)

2125004343 · **on:** Jul 22, 2018

The client reports to the nurse that he is feeling suddenly short of breath. The nurse displays critical thinking with which of the following responses?

1. I'll apply some oxygen to help you breathe better, and notify your doctor.
2. When did this feeling start? Are you having any other symptoms?
3. I'll elevate the head of the bed and apply oxygen.
4. I will notify the doctor immediately.

Question 2

Early recognition of the escalating behavior that leads to violence is important for nurses to practice to keep self and clients and visitors safe. De-escalating behaviors include: Standard Text: Select all that apply.

1. Keep clear path to door
2. Call security to report escalating behaviors
3. Refuse to discuss issues with escalating behaviors
4. Observe for signs of escalation
5. Monitor visitors well

dyrone · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2
Rationale 1: The act of critical thinking requires gathering more information before reacting to the change in the client's status. Beginning implementations (administering oxygen, elevating the head of the bed, notifying the physician) without first gathering data can result in treatments that do not address the actual problem or could actually make the problem worse.

Answer to Question 2

1,2,4
Rationale 1: Prevent the potential for restraint and harm by keeping a clear path to safety.