A client is receiving opioid analgesia for pain control. The nurse is assessing the client for possible respiratory depression. Which method would be most reliable for the nurse to use to identify impending respiratory depression?
A) End tidal CO2
B) Pulse oximetry
C) Respiratory rate
D) Lung sounds
Ans: A
Feedback:
End tidal CO2 is considered a highly reliable measure of the quality of ventilation and, unlike pulse oximetry, is an early indicator of impending respiratory depression. Although respiratory rate and lungs sounds help evaluate the client's respiratory status, they are not reliable indicators of impending respiratory depression.
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ANS:
The nurse suspects Down syndrome in a newborn when assessment findings include:
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a. "Each day will get a little better.". b. "Her death is a terrible loss for you.". c. "It's important to recognize that she is no longer suffering.". d. "Your friends will help you cope with this change in your life.".
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