As you begin to assess a client's respirations, you say:
1. "Be very quiet since I am counting your breaths."
2. "Breathe deeply through your open mouth."
3. "Read your book while I feel your pulse on your wrist."
4. "Be careful not to breathe too rapidly."
ANS: 3
You might also like to view...
The nurse assesses a patient's pulse and finds it hard to obliterate with palpation. What action by the nurse is best?
a. Assess the patient for fluid volume overload. b. Assess the patient for fluid volume deficit. c. Assess the patient's apical heart rate. d. Assess the patient's pulse deficit.
A psychiatric nurse leads a medication education group for Hispanic patients. This nurse holds a Western worldview and uses pamphlets as teaching tools. Groups are short and concise. After the group, the patients are most likely to believe:
a. the nurse was uncaring. b. the session was effective. c. the teaching was efficient. d. they were treated respectfully.
A nursing student is preparing to give a medication that has a black box warning. The student asks the nurse what this means. What will the nurse explain about black box warnings?
a. They indicate that a drug should not be given except in life-threatening circumstances. b. They provide detailed information about the adverse effects of the drug. c. They alert prescribers to ways to mitigate potential harm from side effects. d. They provide information about antidotes in the event toxicity occurs.
During patient teaching, a young woman asks the nurse the following question: "If I get pregnant on the 'pill' should I continue to take it?" What is the nurse's best response?
A) "The pill has no effect on pregnancy." B) "The pill will cause miscarriage." C) "The pill is not harmful to the male fetus." D) "The pill can be harmful to the female fetus."