Author Question: The client complains of difficulty breathing. Which assessment findings should the nurse associate ... (Read 184 times)

evelyn o bentley

  • Hero Member
  • *****
  • Posts: 564
The client complains of difficulty breathing. Which assessment findings should the nurse associate with that complaint?
 
  1. Use of accessory muscles
  2. Increased respiratory depth
  3. Increased respiratory rate
  4. Decreased respiratory depth
  5. Decreased respiratory rate

Question 2

The client has been admitted with complaints of shortness of breath of 2 weeks duration and has received the nursing diagnosis Impaired Gas Exchange. Which admission laboratory result would support the choice of this diagnosis?
 
  1. Increased hematocrit
  2. Decreased BUN
  3. Increased blood sugar
  4. Increased sedimentation rate



thall411

  • Sr. Member
  • ****
  • Posts: 332
Answer to Question 1

Correct Answer: 1, 2, 3, 4
Rationale 1: Use of accessory muscles often is an assessment finding indicating difficulty breathing.
Rationale 2: Depth is often assessed when determining difficulty breathing. The depth of respirations can be deeper (tidal volume greater than 500 mL of air) or more shallow if partial obstruction is present.
Rationale 3: Rate is assessed when determining difficulty breathing. Rate is generally increased.
Rationale 4: The depth of respirations can be deeper (tidal volume greater than 500 mL of air) or more shallow if partial obstruction is present.
Rationale 5: Rate is generally increased.

Answer to Question 2

Correct Answer: 1
Rationale 1: Hematocrit is the percentage of the blood that is erythrocytes, which contain the hemoglobin that carries oxygen. Long-term hypoxia may result in the body's attempt to increase oxygen-carrying capacity by increasing erythrocyte production.
Rationale 2: BUN is a measure of blood urea nitrogen, not oxygen-carrying capacity.
Rationale 3: The blood glucose level is not used to measure oxygenation.
Rationale 4: The sedimentation rate is not a direct measure of oxygenation.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

Did you know?

The average adult has about 21 square feet of skin.

Did you know?

Chronic marijuana use can damage the white blood cells and reduce the immune system's ability to respond to disease by as much as 40%. Without a strong immune system, the body is vulnerable to all kinds of degenerative and infectious diseases.

Did you know?

About 3% of all pregnant women will give birth to twins, which is an increase in rate of nearly 60% since the early 1980s.

For a complete list of videos, visit our video library