The nurse is gathering data from a client recently admitted to the hospital. The nurse asks the client about experiencing orthopnea. What question would the nurse ask to obtain this information?
A) "Are you only able to breathe when you are sitting upright?"
B) "How far can you walk without becoming short of breath?"
C) "Are you coughing up blood at night?"
D) "Are you urinating excessively at night?"
A
Feedback:
To determine if a client is having orthopnea, the nurse needs to ask about the inability to breathe unless sitting upright. Determining how far the client can walk without becoming short of breath would indicate exertional dyspnea. Coughing up blood would indicate hemoptysis. Urinating excessively at night can be indicative of different factors such as taking a diuretic late in the evening causing the client to urinate often at night. This question would be vague.
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