The nurse is observing the abdominal respiratory movements of a patient who is lying supine in bed. Why is the nurse using this method to assess breathing in the patient?
A) In the supine position, the thoracic movements are slight.
B) In the supine position, the diaphragm contracts less.
C) In the supine position, respiratory rate falls.
D) In the supine position, the sternomastoid muscles dominate.
A
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Which of the following factors would the nurse need to keep in mind about the focus of the initial history when assessing a new client with a musculoskeletal problem?
A) Client's age B) Client's lifestyle C) Any chronic disorder or recent injury D) Duration and location of discomfort or pain
When planning preoperative care for a newborn with a cleft lip and palate, a major need for which you would plan interventions is
A) prevention of pneumonia. B) prevention of oral infection. C) nutrition. D) visual stimulation.
When delegating patient care activities, the registered nurse has a responsibility to:
a. assess individual competency when assigning nursing care activities to other health care workers. b. divide the activities fairly between health care workers. c. teach subordinate health care workers proper techniques and procedures. d. observe ancillary staff as they perform delegated activities.
The nurse is caring for a newborn born to a client who experienced abruptio placentae. Which assessment findings suggest that the infant is experiencing anemia? Select all that apply
1. Pallor 2. Tachypnea 3. Tachycardia 4. Elevated blood pressure 5. Capillary refill 6 seconds