A nurse caring for a patient on bed rest with a history of respiratory health problems should:
auscultate for bowel sounds once a shift.
auscultate lung sounds at the beginning of a shift.
monitor for skin turgor every shift.
monitor peripheral pulses once a shift.
The Correct Answer is B
A. Auscultating for bowel sounds once a shift is important but does not directly relate to the respiratory condition.
B. Auscultating lung sounds at the beginning of a shift is a priority to assess for any signs of respiratory compromise or complications.
C. Monitoring skin turgor every shift is important for hydration status but is less critical in comparison to lung sounds for a patient with respiratory problems.
D. Monitoring peripheral pulses once a shift is important but does not address the respiratory condition directly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A stronger pulse is typically associated with increased stroke volume or cardiac output.
B. Bradycardia is not directly related to a reduced stroke volume; pulse rate may not necessarily decrease.
C. An irregular pulse is more associated with arrhythmias or other cardiac conditions, not a reduction in stroke volume.
D. A weaker pulse is expected with a reduced stroke volume, as less blood is being pumped with each heartbeat, leading to a diminished pulse.
Correct Answer is B
Explanation
A. While understanding the onset of symptoms is important, the patient's occupation might provide more insight into potential environmental or work-related exposures that could explain the symptoms, such as chronic exposure to irritants or pollutants.
B. The occupation is highly relevant, as it may help identify occupational hazards, such as exposure to chemicals, dust, or other respiratory irritants, which could be contributing to the symptoms.
C. Although a headache could be related to fatigue or other symptoms, it is not the most relevant question in this case.
D. Abdominal pain is less likely to be the focus when the primary symptoms are chest congestion and a cough, which suggest respiratory involvement.
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