A nurse obtains the vital signs on a postoperative client who just returned to the nursing unit. The client’s blood pressure (BP) is 100/60 mm Hg, the pulse is 90 beats per minute, and the respiration rate is 20 breaths per minute. On the basis of these findings, which of the following nursing actions should be performed?

continue to monitor vital signs More test answers on https://studyhippo.com/care-of-the-surgical-patient-nclex-review-questions/

The nurse is performing closed inline suctioning. Pre-procedure assessment indicated crackles and wheezes bilaterally, pulse rate 72, respiratory rate 20 breaths per minute, and pulse oximetry 89%. Which of the following indicates the nurse should stop suctioning and administer oxygen? A) The patient’s respiratory rate remains unchanged. B) The patient’s pulse oximetry increases to 94%. C) Thick clear sputum is obtained during suctioning. D) The patient’s pulse increases to 114 beats per minute.

The patient’s pulse increases to 114 beats per minute. More test answers on https://studyhippo.com/skills-2-module-8/

A patient with a “Do Not Resuscitate” order requires large doses of a narcotic (which may significantly reduce respiratory function) for excruciating pain. After the patient requests pain medication, the nurse assesses a respiratory rate of 12 breaths per minute. The nurse’s ethical decision should be to:

give the pain medication without fear of respiratory depression More test answers on https://studyhippo.com/ch-3-critical-thinking-ethical-decision-making-the-nursing-process/

The initial assessment of Mr. Winchell continues. The nurse measure the client’s vital signs. Mr. Winchell’s respiratory rate is 32 breaths per minute. What follow-up assessment data should the nurse obtain first? A. Cigarette smoking history. B. Use of accessory muscles C. Cultural health beliefs D. Color of sputum

B. Use of accessory muscles More test answers on https://studyhippo.com/hesi-case-studies-respiratory-2/

You are treating a patient with paradoxical motion on the left side of the chest. He is breathing shallow at a rate of 4 breaths per minute. You should:

begin positive pressure ventilation. More test answers on https://studyhippo.com/chapter-27-chapter-test-emt/

During the maintenance period of anesthesia in a dog or cat, respiratory rates lower than how many breaths per minute may indicate excessive anesthetic depth that should be reported to the vet?

8 More test answers on https://studyhippo.com/anesthetic-monitoring-vtne/

14. Which of the following is an early sign of respiratory distress in an 18-month-old patient? a. Wheezing b. Heart rate of 60 beats per minute c. Drowsiness d. Respiratory rate of 12 breaths per minute

14. a. Wheezing More test answers on https://studyhippo.com/emt-chapter-35/

4. 76yo Caucasian male presents to clinic with hemoptysis that began one week ago. He has smoked 1 PPD for 35 years. He admits to dropping 3 pant sizes and chest pain in the last month. Physical examination reveals a cachectic man in mild distress. His vitals are: 130/85 mmHg, 94 beats per minute, 22 breaths per minute, and 99.0°F. He has decreased breath sounds on the left side of the chest. What’s the next appropriate step in the management of this patient?

C. CT of the chest More test answers on https://studyhippo.com/lung-cancer-small-group-questions/

A client presents to the health care facility with a two (2) week history of persistent dry, hacky cough, chest tightness, and shortness of breath with activity. The client admits to a one (1) pack per day history of cigarette smoking for 20 years. The nurse observes a respiratory rate of 16 breaths per minute, easy and regular. Which nursing diagnosis should the nurse confirm based on this assessment data?

Impaired Gas Exchange More test answers on https://studyhippo.com/sonyasabrah/

After the NAP performs routine vital signs on the patient, the NAP reports to the nurse that the patient is restless, and it sounds like the patient is gurgling. Vital sign readings indicate a pulse of 72, respiratory rate of 20 breaths per minute, and a pulse oximetry of 89%. What is the most appropriate action at this time? A) Document the normal findings. B) Consult with the physician regarding need for a bronchodilator. C) Suction the patient’s airway. D) Have the patient take a deep breath and reassess pulse oximetry.

Suction the patient’s airway. More test answers on https://studyhippo.com/skills-2-module-8/

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