Author Question: Which of the following positions does the RN assist the client in to best assess respiratory status? ... (Read 49 times)

Yi-Chen · **on:** Jul 23, 2018

Which of the following positions does the RN assist the client in to best assess respiratory status?

1. Prone
2. Semi-Fowler's
3. Side-lying
4. Supine

Question 2

A client is being treated for congestive heart failure. Which of the following physical findings would lead the RN to believe the client's condition has not improved?

1. Temperature of 98.6F (37C)
2. Moderate amount of clear thin mucus
3. Pulse oximetry reading of 96
4. Wheezing of breath sounds in all lobes

bigcheese9 · **Reply #1 on:** Jul 23, 2018

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.