Author Question: A client develops shortness of breath while a nurse is conducting an assessment. The nurse should: ... (Read 26 times)

c0205847 · **on:** Jul 24, 2018

A client develops shortness of breath while a nurse is conducting an assessment. The nurse should:

A. Call the physician
B. Assess the thorax and lungs first
C. Postpone the assessment until a later time
D. Continue to complete the head to toe sequence

Question 2

The appropriate application of an abdominal binder includes:

A. Leaving any underlying wounds uncovered
B. Padding the iliac prominences of a thin client
C. Positioning of the client supine with the head and legs flat
D. Applying it so that the ability to deep-breathe is somewhat limited

JYan · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
A, B, C, and D. Respond immediately to identified need (repositioning, oxygen, or medication as appropriate). Obtain vital signs. Notify physician.

Answer to Question 2

B
B. If client is very thin, pad iliac prominences with gauze bandage.
A. Dressing replacement or reinforcement precedes application of any binder. If left uncovered, a wound can be damaged from rubbing of binder.
C. Position client in supine position with head slightly elevated and knees slightly flexed.
D. Recheck client's ability to breathe deeply and cough effectively. Shallow respirations, continuing after a tight binder has been loosened, may indicate beginning of serious respiratory problems, including alveolar atelectasis and pulmonary embolus, among others.