HESI Case Studies Respiratory 2023 Actual Questions and Answers, Complete 100%
HESI Case Studies Respiratory 2023 Actual Questions and Answers, Complete 100% 1. Mr. Winston Winchell is a 70-year-old Black man. He has a history of emphysema and has been admitted to an inpatient medical unit with an acute respiratory infection. The nurse prepares to complete the client's admission assessment after Mr. Winchell's transfer from the emergency department (ED). To ensure the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? A. Breath sounds B. Oxygen Saturation C. Level of Fatigue D. Chest Excursion: Answer: B. Oxygen Saturation 2. The initial assessment of Mr. Winchell continues. The nurse measure the client's vital signs. Mr. Winchell's respiratory rate is 32 breaths per minute. What follow-up assessment data should the nurse obtain first? A. Cigarette smoking history. B. Use of accessory muscles C. Cultural health beliefs D. Color of sputum: Answer: B. Use of accessory muscles 3. The nurse applies oxygen at 2 liters per minute via nasal cannula and ensures that the client is comfortable. His oxygen saturation is stable at 95%, and his respiratory rate decreases to 24 breaths per minute. Mr. Winchell reports that he feels able to continue with the admission interview and assessment. After answering a few questions, the client begins to cough. What assessment should the nurse perform? A. Assess for the presence of nail bed clubbing B. Review oral fluid intake for the last 24 hours C. Observe for dryness of the oral mucosa D. Note the amount and appearance of any sputum: Answer: D. Note the amount and appearance of any sputum
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