Fundamentals Adaptive Quiz Test 1 (Complete And Verified Study material) (9pages) LEARNEXAMS

Which assessment finding is considered the earliest sign of decreased tissue oxygenation? Unexplained restlessness Which physical assessment maneuver is the nurse performing when instructing the client to breathe in slowly and a little more deeply than normal through the mouth? Auscultation Which physical assessment findings of a client suspected of having a respiratory disorder would be considered normal? Select all that apply. Pink nasal mucosa, midline trachea, non labored breathing of 14/min What finding would be consistent with long-standing hypoxemia in a client who reports shortness of breath? Clubbing A client is admitted with a sudden onset of dyspnea and chest pain. What are the interventions in the order in which the nurse will perform them to provide comfort to the client? 1. Notifying the Rapid Response Team 2. Reassuring the client and family members 3. elevate the head of the bed to help the client breathe easier 4. Prepare oxygen therapy and blood gas analysis 5. Monitoring and assessing for other changes Which would the nurse consider to be a potential respiratory system-related complication of surgery? Atelectasis An older adult client who complains of difficulty breathing after a surgery is found to have decreased vital capacity on spirometry. Which nursing intervention should be performed in this situation? Teach coughing and deep-breathing exercises. The nurse finds the respiratory rate is 8 breaths per minute in a client who is on intravenous morphine sulfate. What should the nurse do immediately in this situation? Stop administering the medication A child who reports shortness of breath, wheez