The nurse documents that the client's respirations are shallow and rapid. The client's respiratory rate is 30 per minute. From this finding, the nurse is concerned the client is:
1. Fatigued.
2. Anxious.
3. Normal.
4. Bored.
2
Rationale 1: Fatigue does not usually result in tachypnea.
Rationale 2: Tachypnea, or rapid, shallow respirations, are greater than 24 per minute and may be caused by fever, fear, exercise, respiratory insufficiency, pleuritic pain, alkalosis, or pneumonia.
Rationale 3: Normal respirations are even and regular. A normal respiratory rate is over 10 and under 24 respirations per minute.
Rationale 4: The bored client may exhibit a slower respiratory rate.
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A group of nurses are preparing a presentation for a conference and will be including some of the history of the nursing profession as it relates to national policy setting
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A. "I know I might not start feeling better for a few weeks, but I'll keep taking the medication just as the doctor prescribed." B. "I'll keep some hard candies in my purse in case my mouth gets dry from the medicine." C. "Once I start feeling better, I'm looking forward to cutting down on this medication." D. "I'm worried I may gain some weight, but that's a small price to pay for feeling better."