You are conducting a general assessment of a 6-years-old child. While the child is sitting on the examination table you assess his respiratory rate. You would begin by
a. first informing him of what you are doing.
b. counting the number of respirations in 15 seconds and multiplying by 2.
c. counting the respirations while measuring his pulse.
d. placing the stethoscope on his chest so he does not know you are counting respirations.
C
To assess respiratory rate, the nurse stands in front of, or to the side of, the patient, discretely observe the patient's breathing (rise and fall of the chest). These observations are best done with the patient unaware of what you are doing. If the patient is aware that you are counting respirations, his breathing pattern may be altered. Count the number of respiratory cycles (one inhalation and one expiration) that occur in 1 minute. Most frequently, respirations can be measured while measuring radial or apical pulse; thus, the correct choice is "c." Option "d" is not an appropriate or correct way to assess respiratory rate.
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