when assessing respiration what does the nurse assess
Ans) To assess respiration, the nurses needs to collect the following data:
- Family Hx
- Social Hx
- Smoking Hx
1. inspect skin color (cyanosis)
2. fingers (clubbing)
3. Inspect structures of upper airway, thorax and chest
configuration and deformities
4. Palpate the thorax, respiratory excursion, symmetry, tactile
fremitus, crepitus
5. percuss the thorax
6. Auscultate breath/voice sounds, are they normal or
adventitious
7. Respiratory rate, depth, and pattern.
when a nurse assess respiration what does she assess for
When administering the drug amiodarone, what three adverse effects does the nurse need to assess for?
The nurse is assessing a client with herpes zoster. Which characteristic(s) does not the nurse expect to note when assessing the lesions of this infection? Select all that apply. A. Clustered skin vesicles B. A generalized body rash C. Small blue white spots with a red base D. A fiery red edematous rash on the cheeks E. Grouped vesicles on an erythematous base
Which clinical indicator does the nurse expect to identify when assessing a client admitted with a herniated lumbar disk? Pain radiating to the hip and leg Stiffness in shoulders Paralysis of both lower extremities Overgrowth of tissue on the lower back
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The occupational health nurse is assessing new employee at her company. What would be important to assess in employee with a potential occupational respiratory history? mark all that apply
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nurse the nurse is assessing a patient muscle strength and notes that when asked the client cannot maintain his or her arms and a service-connected position in the arms extended and eyes closed how would the nurse correctly document the finding on a medical record
A nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take? o o o o Change the client's position every 4 hr Use friction when cleansing the client's skin Applý a petroleum- based ointment: to the red area Assess the red area for branching
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