respiratory

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A nurse is assessing the respiratory pattern of an older adult client who is receiving end-of-life care. Which of the following assessment findings should the nurse identify as Cheyne-Stokes respirations? An inability to breathe without dyspnea unless sitting Rapid respirations that are unusually deep and regular Breathing ranging from very deep to very shallow with periods of apnea Shallow to normal breaths alternating with periods of apnea

Breathing ranging from very deep to very shallow with periods of apnea

Which assessment finding for an older adult patient does the nurse ascribe to the natural aging process? Decrease in the anteroposterior diameter Decrease in respiratory muscle strength Decrease in residual volume Tightening of the vocal cords

Decrease in respiratory muscle strength *vocal cords are actually looser

Which of the following findings would cause the nurse to halt/stop a respiratory exam? Cough Extreme SOB Anxiety Eupnea

Extreme SOB *eupnea = normal

A nurse assesses a patient's respiratory status. Which information is of highest priority for the nurse to obtain? Neck circumference Average daily fluid intake Height and weight Occupation and hobbies

Occupation and hobbies

A nurse is assessing a client who has late stage hypoxia. Which of the following findings should the nurse expect? Pallor Tachycardia Somnolence Bradypnea

tachycardia


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