The nurse charts that the patient is eupneic. This finding indicates that respirations
1. Require the use of costal, sternal, and subclavicular muscles.
2. Are very shallow and at a rate between 8 and 12 per minute.
3. Are between 20 and 24 per minute and that the patient is using his thoracic muscles.
4. Are considered to be normal in depth and rate with use of the abdominal muscles.
ANS: 4
You might also like to view...
The nurse is caring for a patient who is being mechanically ventilated. What strategies have been shown to prevent ventilator-acquired pneumonia (VAP)? Select all that apply
A) Routine prone positioning B) Elevate head of bed 30 degrees if not contraindicated C) Oral care with plaque removal every 2 to 4 hours D) Balanced nutrition by gastric tube E) Continuous subglottic suctioning of secretions F) Frequent turning and chest physiotherapy
Two units of PRBCs have been ordered for a patient who has experienced a GI bleed. The patient is highly reluctant to receive a transfusion, stating, "I'm terrified of getting AIDS from a blood transfusion."
How can the nurse best address the patient's concerns? A) "All the donated blood in the United States is treated with antiretroviral medications before it is used." B) "That did happen in some high-profile cases in the twentieth century, but it is no longer a possibility." C) "HIV was eradicated from the US blood supply in the early 2000s." D) "The chances of contracting AIDS from a blood transfusion in the United States are exceedingly low."
A client hospitalized after a myocardial infarction is restlessly moving about in bed. Her pulse,
blood pressure, and respiratory rate are elevated. In a shaky voice, she tells the nurse "I think I am going to die. The pain is gone, but it could come back anytime. Where is the doctor? Why isn't the doctor here with me?" The nurse should analyze this behavior as suggesting the nursing diagnosis of a. spiritual distress. b. ineffective breathing pattern. c. noncompliance. d. anxiety.
Following referral, the midwife is required to attend all appointments with the obstetrician
Indicate whether the statement is true or false.