Answer to Question 1
Correct Answer: 2
Rationale 1: The prone position increases the volume of blood inside the thoracic cavity and compresses the chest, compromising the client's respirations.
Rationale 2: Persons in a semi-Fowler's position will better aid themselves and the nurse to assess their respiratory status.
Rationale 3: The side-lying position increases the volume of blood inside the thoracic cavity and compresses the chest, compromising the client's respirations.
Rationale 4: The supine position increases the volume of blood inside the thoracic cavity and compresses the chest, compromising the client's respirations.
Answer to Question 2
Correct Answer: 4
Rationale 1: A temperature reading of 98.6F is a normal finding and not an indication of heart failure.
Rationale 2: Moderate amount of clear mucus is a normal finding and not an indication of heart failure.
Rationale 3: A pulse oximetry reading of 96 is a normal findings and not an indication of heart failure.
Rationale 4: Wheezing heard when assessing breath sounds is indicative of abnormal breath sounds, which are characteristic in congestive heart failure.
Respiratory Assistive Devices, Peak Flow Meter
A nurse adjusts the rate of a client’s IV.
A client is having an endoscopy performed by a physician who views the upper gastrointestinal intern
Examples of the most common X-ray positions and the images they produce.
Summary of Respiratory Volumes and Capacities
Positions for auscultation of the heart: Lateral