A client visits the health care facility for a scheduled physical assessment. What should the nurse do when physically assessing the quality of the client's oxygenation? Select all that apply

Question

A) Monitor the client's respiratory rate.
B) Note the amount of oxygen administered.
C) Check the symmetry of the client's chest.
D) Observe the breathing pattern and effort.
E) Check the devices used to deliver oxygen.

Answer 1

Ans: A, C, D
When physically assessing the quality of the client's oxygenation, the nurse should monitor the client's respiratory rate, check the symmetry of the client's chest, and observe the breathing pattern and effort of the client. The nurse should also auscultate for lung sounds. Additional assessments include recording the heart rate and blood pressure, determining the client's level of consciousness, and observing the color of the skin, mucous membranes, lips, and nailbeds. However, the nurse does not note the amount of oxygen administered to the client, or check the device that is used to deliver oxygen to the client during the physical assessment.