The nurse counts a patient's respirations at 30 per minute. From this finding, what about the patient's respiratory status should cause the nurse concern?
1. Pneumonia is developing.
2. Increased carbon dioxide in the blood is being expelled.
3. Respiratory arrest is beginning.
4. Pain is affecting the respiratory rate.
Correct Answer: 2
When carbon dioxide concentration in the blood increases or the pH decreases, the respiratory rate increases. There is not enough data provided to indicate pneumonia or pain. With respiratory arrest the respirations would typically be decreased.
You might also like to view...
A community health nurse is working with other members of a team who will be implementing a citywide immunization program. The nurse is coordinating the services and addressing the needs of the population groups to ensure which of the following?
A) Involvement of the community B) Client participation C) Continuity of service D) Plan for follow-up
When caring for a patient with a cardiac dysrhythmia, the most appropriate goal for the patient is to maintain:
A) Nutritional intake B) Fluid intake C) Cardiac output D) Social contacts
A single woman who works from 3 to 11 PM as an aide in a nursing home was grabbed from behind
by a man who put a gun to her head as she walked home. The attacker warned her not to scream or he would "blow [her] head off.". He put tape over her mouth, tied her hands, forced her into his car, took her to an isolated spot, and raped her. When found, she was confused and disoriented. A rescue unit was called and she was taken to the hospital emergency department, where rape evidence was collected and she received treatment. During the emergency room stay the client sobbed incoherently for the first 30 minutes and intermittently thereafter. She appeared tense, restless, and agitated throughout the stay. The nurse correctly assessed the client's style of coping as a. controlled. b. expressed. c. suicidal. d. somatic.
Which of the following actions cause health care disparities?
a. Refusal of treat-ment c. Trust in the health care system b. Provider–patient relationships d. Provider bias and discrimination