Breathing Pattern Case Study
Josh case study
The nurse assesses Josh's vital signs. His respirations are rapid and shallow
What is the best technique for the nurse to use to assess Josh's respirations accurately?
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Breathing Pattern Case Study
Josh case study
The nurse assesses Josh's vital signs. His respirations are rapid and shallow
What is the best technique for the nurse to use to assess Josh's respirations accurately? - answer--D) Place a hand on Josh's chest and count the hand motion
This technique allows the nurse to observe and cont the chest movement, even when respirations are shallow
Josh's respiratory rate is 36
How should the nurse describe Josh's respiratory pattern - answer--Tachypnea
A rapid respiratory rate, which is consistent with Josh's rate of 36. Normal respiratory rate for a school-aged child is 16 to 30 breaths per minutes.
Because of Josh's dyspnea, the nurse is concerned that he may need to receive oxygen
To determine the need for the application of a nasal cannula which assessment is most important for the nurse to perform? - answer--Measure O2 Sat
O2 Sat provides important data about the % of hgb that is saturated w/ O2- a valuable reflection of the client's overall oxygenation
In assessing Josh's breath sounds, the nurse should ask him to perform which action? - answer--Breathe deeply through the mouth
Josh should be instructed to breathe slowly and deeply through a slightly opened mouth to allow best auscultation of breath sounds
To measure cap refill, the nurse must first perform which action? - answer--Compress Josh's nailbed
To measure cap refill, the nurse should first compress the client's nailbed and then observe the return of normal color to the nailbed
The nurse plans to measure Josh's O2 sat w/ a spring-tension finger clip. While the nurse is explaining this procedure Josh asks if it will hurt
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