NR302 Case Study – Week 6

Please write your answers on the answer sheet provided and submit the answer sheet only. Mr. Melton is a 70-year-old African American male with a history of emphysema and has been admitted to an inpatient medical/surgical unit with an acute respiratory infection. The nurse prepares to complete the client's admission assessment after Mr. Melton's transfer from the emergency department (ED). 1. To ensure the client's respiratory status is stable upon his arrival on the unit, the nurse should complete which assessment first? A. Breath sounds B. Oxygen saturation C. Level of fatigue D. Chest excursion 2. The initial assessment of Mr. Melton continues. The nurse notices his 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 3. The nurse applies oxygen at 2L/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. Melton reports that