While the nurse is assessing the patient's respirations, it is important for the patient to
a. Be aware of the procedure being done.
b. Not know that respirations are being assessed.
c. Understand that respirations are estimated to save time.
d. Not be touched until the entire process is finished.
B
Do not let a patient know that respirations are being assessed. A patient who is aware of the assessment can alter the rate and depth of breathing. Respirations are the easiest of all vital signs to assess, but they are often the most haphazardly measured. Do not estimate respirations. Accurate measurement requires observation and palpation of chest wall movement.
You might also like to view...
To project staffing needs and to avoid understaffing, it is important that nurse managers consider which of the following?
a. Maximum productive hours b. Average nonproductive hours c. Minimum benefit hours d. Maximum vacation time
A school has a policy in place that allows unlicensed assistive personnel to administer medica-tions to students after having their competency evaluated by an RN. Which of the following types of delegation is being used?
a. Direct b. Indirect c. Supervised d. Guided
When assessing for addiction, the nurse should be aware that a primary symptom of addiction is:
a. Anger b. Apathy c. Denial d. Violence
Bathing a patient with Alzheimer's disease is no different from bathing any other patient.
Answer the following statement true (T) or false (F)