A nurse assesses a client's respiratory status. Which information is most important for the nurse to obtain?

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Question 1 of 5

A nurse assesses a client's respiratory status. Which information is most important for the nurse to obtain?

A. Average daily fluid intake. B. Neck circumference. C. Height and weight. D. Occupation and hobbies.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A nurse is assessing a client with peripheral artery disease (PAD). The client states that walking five blocks is possible without pain. What question asked next by the nurse will give the best information?

A. Could you walk further than that a few months ago?' B. Do you walk mostly uphill, downhill, or on flat surfaces?' C. Have you ever considered swimming instead of walking?' D. How much pain medication do you take each day?'

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A newborn has a respiratory rate of 52 breaths per minute. Which action should the nurse take?

A. Notify the provider immediately B. Administer oxygen by mask C. Begin monitoring the respiratory rate every 5 minutes D. Continue to monitor the newborn per facility policy

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A client with asthma asks the nurse, 'Why do I have to keep taking this medication when I haven't had an asthma attack in 3 months?' Which response by the nurse is the most appropriate?

A. Your lungs will be severely damaged if you stop taking the medication B. You need to ask your physician this question C. The medication is still needed to decrease inflammation in your airways and help prevent an attack D. The medication needs to be taken for at least a year; then, if you have not had an acute attack, you can stop it

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse is caring for an 18-month-old client who is newly diagnosed with cystic fibrosis. The client is currently hospitalized due to a Pseudomonas aeruginosa infection in the lungs. The client's vital signs are: P 138, R 43, T 101.3°F, BP 86/40, SpO2 88%. The client is coughing up thick, green mucus. What independent nursing intervention can the nurse implement to improve the client's oxygenation?

A. Administration of CFTR modulators B. Percussion and postural drainage C. Nutritional counseling D. Teaching the client to cough into a tissue

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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