Evaluating the respiratory status of a 59-year-old man with vague complaints of respiratory problems, the nurse would know the assessment that is normal is
a. an inspiratory wheeze heard only with a stethoscope.
b. dyspnea with mild exertion.
c. reports of loud snoring by the client's spouse.
d. the absence of sputum production after coughing.
D
The tracheobronchial tree normally produces about 3 ounces of mucus a day as part of the normal cleansing mechanism. However, sputum production with coughing is not normal.
You might also like to view...
A patient in the ICU was admitted about 24 hours ago with symptoms of acute respiratory distress syndrome (ARDS). He now demonstrates shortness of breath and a respiratory rate of 40 breaths per minute. His heart rate is 115 beats per minute
The nurse notes a bluish tinge in his fingertips. His chest x-ray shows patchy alveolar infiltrate. His body temperature is normal. Which stage of ARDS is this patient most likely in? A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4
During an assessment, a patient begins to cough. How would the nurse evaluate this finding?
1. The patient has a cold. 2. The patient is nervous. 3. Something other than air was entering the larynx. 4. The patient is not fully conscious.
Your client is scheduled for a colonoscopy. To prepare this client, you:
1. administer a retention enema. 2. use a bowel cleansing protocol. 3. administer a suppository. 4. teach the BRATY diet.
Which exemplifies a physical hazard?
A) Infectious agents B) Hazardous drug and toxin exposures C) Electric and magnetic fields D) Sexual harassment