The nurse is caring for a newborn with rapid respirations. How ...

[charchew]

The nurse is caring for a newborn with rapid respirations. How would the nurse get an accurate respiratory rate?
 
  1. Remove the client's clothing so the chest movement can be seen.
  2. Count respirations for 30 seconds and multiply by two.
  3. Place the hand on the client's back to feel the respirations.
  4. Use a stethoscope to hear respirations.

Question 2

The nurse is assisting the health care provider insert a chest tube into a client with a hemothorax following a motor vehicle crash. Which would the nurse don in order to assist with this procedure? Select all that apply.
 
  1. Sterile gown
  2. Sterile gloves
  3. Mask with eye shield
  4. Mask
  5. Clean gown

[uniquea123]

Answer to Question 1

Correct Answer: 4

The nurse would be able to get the most accurate respiratory rate in an infant who is breathing quickly by using a stethoscope. Removing clothes will allow the nurse to see chest movement, but when the infant is undressed, he might begin crying, which would alter the respiratory rate. Placing a hand on the infant's back would allow the nurse to feel most respirations, but would not yield as accurate an assessment as would the use of the stethoscope.

Answer to Question 2

Correct Answer: 3,5

The nurse would not need to don sterile gown or gloves, because the role of the nurse is to monitor the client during the procedure. However, due to the risk of splatter, the nurse would wear a gown and mask with eye shield.

[charchew]

TYSM

[kusterl]

Gracias!