The nurse documents that the client's respirations are shallow and rapid with a rate of 30 breaths per minute. Based on these assessment findings, which conclusion by the nurse is the most appropriate?
1. Client fatigue.
2. Client anxiety.
3. Normal client finding.
4. Client boredom.
Correct Answer: 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. Fatigue does not usually result in tachypnea. Normal respirations are even and regular. A normal respiratory rate is over 10 and under 24 respirations per minute. The bored client may exhibit a slower respiratory rate.
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