Questions and Answers Verified and Approved
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A dark-skinned patient is being assessed after reporting dyspnea. Which documentation best
reflects the nurse's understanding of the effects of cyanosis on this specific patient - CORRECT
ANSWER ✔✔ -Bluish dull skin is noted in the perioral area
A nurse is assessing respiratory function of a patient demonstrating signs and symptoms of
dyspnea. Which intervention is most appropriate for the effective assessment of this particular
patient's respiratory status. - CORRECT ANSWER ✔✔ -Counting respirations for a full 60
seconds
A nurse is performing a respiratory assessment on a patient when the patient reports occasional
chest pain. Which initial response by the nurse demonstrates effective management of the
patient's report. - CORRECT ANSWER ✔✔ -Asking "Are you experiencing chest pain now?"
A patient diagnosed with cystic fibrosis suggests asking for the provider to order chest
physiotherapy because "it has always helped me get up the secretions in the past." Which actions
will the nurse take when the patient's medical history reports a recent myocardial infarction
(MI)? - CORRECT ANSWER ✔✔ -Explain that chest physiotherapy is contradicted by te
patients recent MI
A patient is experiencing hypoxia related to an ineffective airway. Which assessment findings
support the presence of hypoxia? - CORRECT ANSWER ✔✔ -- nasal flaring
- cyanotic nail beds