A nurse in a provider's office is preparing to auscultate and percuss a client's
thorax as part of a comprehensive physical examination. Which of the
following findings should the nurse report? Select All.
A) rhonchi
B) crackles
C) resonance
D) tactile fremitus
E) bronchovesicular sounds - correct answer-C, E
A nurse is assessing a client who has an acute respiratory infection,
increasing the risk for hypoxemia. Which of the following findings are early
indications that should alert the nurse that the client is developing hypoxia?
Select All.
A) Restlessness
B) Tachypnea
C) Bradycardia
D) Confusion
E) Hypertension - correct answer-A, D
A provider is discharging a client who has a prescription for home oxygen
therapy via nasal cannula. Client and family teaching by the nurse should
include which of the following instructions? Select All.
A) apply petroleum jelly around and inside nares
B) remove nasal cannula during mealtimes
C) check the position of the cannula frequently
D) report any nausea or difficulty breathing
E) post "no smoking" signs in prominent locations - correct answer-C, D, E
A nurse is caring for a client who is having difficulty breathing. The client is
lying in bed and is already receiving oxygen therapy via nasal cannula. Which
of the following interventions is the nurse's priority?
A) increase oxygen flow
B) assist the client to Fowler's position