Elsevier Resp questions with correct answers

When assessing a patient's sleep-rest pattern related to respiratory health, the nurse would ask if the patient (select all that apply) A. Has trouble falling asleep. B.Needs to urinate during the night. C. Awakens abruptly during the night. D.Sleeps more than 8 hours per night. E. Has to sleep with the head elevated. Answer A, C, E The patient with sleep apnea may have insomnia and/or abrupt awakenings. Patients with cardiovascular disease (e.g., heart failure that may affect respiratory health) may need to sleep with the head elevated on several pillows (orthopnea). Sleeping more than 8 hours per night or needing to urinate during the night is not indicative of impaired respiratory health The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by inspecting A Chest excursion. B Spinal curvatures. C The respiratory pattern. D The fingernails and their base Answer D Clubbing, a sign of long-standing hypoxemia, is evidenced by an increase in the angle between the base of the nail and the fingernail to 180 degrees or more, usually accompanied by an increase in the depth, bulk, and sponginess of the end of the finger The nurse is caring for a patient with COPD and pneumonia who has an order for arterial blood gases to be drawn. Which of the following is the minimum length of time the nurse should plan to hold pressure on the puncture site? A 2 Minutes