Which finding by the nurse for a patient with a nursing diagnosis of impaired gas exchange will be most useful in evaluating the effectiveness of treatment?
a. Even, unlabored respirations
b. Pulse oximetry reading of 92%
c. Respiratory rate of 18 breaths/minute
d. Absence of wheezes, rhonchi, or crackles
ANS: B
For the nursing diagnosis of impaired gas exchange, the best data for evaluation are arterial blood gases (ABGs) or pulse oximetry. The other data may indicate either improvement or impending respiratory failure caused by fatigue.
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a. culture c. heritage b. ethnicity d. race