Med-Surg Chapter 26 Lewis NCLEX Respiratory System Assessment questions with correct answers

When assessing a patient's sleep-rest pattern related to respiratory health, what should the nurse ask the patient about (select all that apply)? A. Have trouble falling asleep? B. Need to urinate during the night? C. Awaken abruptly during the night? D. Sleep more than 8 hours per night? E. Need to sleep with the head elevated? CORRECT ANSWER A. Have trouble falling asleep? C. Awaken abruptly during the night? E. Need to sleep with the head elevated? 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. What should the nurse inspect when assessing a patient with shortness of breath for evidence of long-standing hypoxemia? A. Chest excursion B. Spinal curvatures C. Respiratory pattern D. Fingernails and their base COR