A review of a patient's medical record reveals that the patient is using accessory muscles to aid breathing
Which muscle groups would the nurse expect to see in use? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Abdominals
2. Scalene
3. Brachialis
4. Trapezius
5. Sternocleidomastoid
1,2,4,5
Rationale 1: Abdominal muscles are used to augment respiratory effort.
Rationale 2: Scalene muscles are the muscles of the lateral neck. These muscles can be used to augment respiratory effort.
Rationale 3: The brachialis muscles are in the arm and are not useful in augmenting respiratory effort.
Rationale 4: The trapezius muscles of the upper back can augment respiratory effort.
Rationale 5: The sternocleidomastoid muscles are in the anterior neck and are often used to augment respiratory effort.
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The nurse is checking peripheral perfusion to a child's extremity following a cardiac catheterization. Which assessment finding indicates adequate peripheral circulation to the affected extremity?
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