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MEDSURGE 10th edition Test bank

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MEDSURGE 10th edition Test bank
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Chapter 27: Concepts of Care for Patients With Noninfectious Lower Respiratory
Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
 Profile
MULTIPLE CHOICE
1. A nurse assesses several clients who have a history of respiratory disorders. Which client
would the nurse assess first?
a. A 66-year-old client with a barrel chest and clubbed fingernails
b. A 48-year-old client with an oxygen saturation level of 92% at rest
c. A 35-year-old client who reports orthopnea in bed
d. A 27-year-old client with a heart rate of 120 beats/min
ANS: D
s.
co
m
Tachycardia can indicate hypoxemia as the body tries to circulate the oxygen that is available.
A barrel chest is not an emergency finding. Likewise, a pulse oximetry level of 92% is not
considered an acute finding. Orthopnea at night in bed is breathlessness when lying down but
is not an acute finding at this moment.
DIF: Applying
TOP: Integrated Process: Nursing Process: Assessment
KEY: Respiratory distress, Nursing assessment
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. A nurse cares for a client with arthritis who reports frequent asthma attacks. What action
Is the category for this document correct?
Science / Health Science / Nursing
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