The nurse is instructing a Lamaze class on abdominal breathing and tells a patient that her baseline respiratory rate is 22 breaths per minute. What should be the patient's rate while performing slow breathing?
a. 9
b. 11
c. 15
d. 20
ANS: B
The range of respirations should be no lower than half of the base rate and no more rapid than double the base rate.
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A client being treated for depression reports the desire to get out of bed, shower, eat, and contact friends and family for socialization. Which conclusion regarding the client's behavior is appropriate by the nurse?
A) Risk factors for self-harm B) Improvement in depression C) Denial of the diagnosis of depression D) The need for assistance with activities of daily living
You are admitting an elderly woman to your unit. Her husband is with her. The husband wants to know where the information you are obtaining is going to be kept
You explain to the husband that while his wife is in the hospital all of her information will be kept on the computer. The husband states, "I sure am not comfortable with that. It is too easy for someone to break into computer records these days." What is your best response? A) "The Institute of Medicine has called for the implementation of the computerized health record so all hospitals are doing it." B) "Don't worry, our records are very safe." C) "This hospital is as concerned as you are about keeping our patients' records private. So we take special precautions and we have set up special safeguards so no one can break into our patients' medical records." D) "We have only had one time a patient's records were broken into in the past 5 years so we have a pretty good record."
The nurse identifies that a client has not met the expected outcome established for the nursing diagnosis Ineffective Individual Coping. What nursing action is priority?
A) Revise the nursing diagnosis. B) Rewrite the interventions used to address the problem. C) Reassess the patient, looking for previously unknown stressors. D) Explore reasons why the outcome was not achieved.
A pregnant client asks the nurse about changing from her prescription antidepressant medication to St. John's wort because it is natural. What is the best response by the nurse?
A. "It should be okay because your baby has been exposed to an antidepressant." B. "St. John's wort is a drug, and this should be discussed with your healthcare provider." C. "No, herbal preparations are just not safe to take during pregnancy." D. "Yes, you can change, but let your doctor know at your next appointment."