Good respiratory assessment includes (but is not limited to) all of the following except:

a. look for misting and demisting of the oxygen mask (or if the LMA tube is still in situ, that the t-piece bag is inflating and deflating), indicating that effective respiration is taking place.
b. recording the respiratory rate from the monitoring equipment.
c. assessing the patient's colour, which should be pink, indicating that the patient is receiving adequate oxygen.
d. checking the chest movement is symmetrical as the chest rises and falls, indicating effective respiration and the patient should not be using the accessory muscles of respiration, indicating ineffective respiratory effort or possible upper airway obstruction.


ANS: B

Nursing

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