The best way for the nurse to assess a client's level of dyspnea is to:

read previous documentation on the client's chart.

observe the client at rest and during activity.

ask if shortness of breath is being experienced.

auscultate lung sounds.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Reading previous documentation provides historical information but may not reflect the current level of dyspnea.

Choice B rationale: Observing the client at rest and during activity is the best way to assess the current level of dyspnea.

Choice C rationale: Asking if shortness of breath is being experienced provides subjective information but may not be as reliable as direct observation.

Choice D rationale: Auscultating lung sounds is important for assessing respiratory function but may not provide a comprehensive picture of dyspnea.

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Correct Answer is A

Explanation

Choice A rationale: Intravenous administration results in the most predictable onset and complete bioavailability to the client, as the medication goes directly into the bloodstream.

Choice B rationale: Oral administration is subject to factors such as absorption in the gastrointestinal tract, which can affect predictability and bioavailability.

Choice C rationale: Subcutaneous administration can be affected by factors like absorption rates and tissue characteristics, leading to variations in onset and bioavailability.

Choice D rationale: Transdermal administration has a slower onset and may be influenced by factors such as skin integrity and blood flow.

A. pursed-lip breathing. B. clubbing of the nails. C. cyanosis. D. poor skin turgor.

Correct Answer is C

Explanation

Choice A rationale: Pursed-lip breathing is a compensatory mechanism to improve oxygenation and is not as severe an indication as cyanosis.

Choice B rationale: Clubbing of the nails is a chronic sign of oxygenation issues but may not be an acute and immediate indication of deterioration.

Choice C rationale: Cyanosis, the bluish discoloration of the skin and mucous membranes, is a serious indication of inadequate oxygenation.

Choice D rationale: Poor skin turgor is not a direct indicator of oxygenation status.

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The best way for the nurse to assess a client's level of dyspnea is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows that which form of medication delivery results in the most predictable onset and most bioavailability to the client?

Correct Answer is A

Explanation

The nursing assessment finding that represents the most serious indication of a client's deteriorating oxygenation status is:

Correct Answer is C

Explanation

The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client. Assuming that there are no skin problems, which is the preferred site for the injection?

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Which nursing action is most helpful in thinning a client's thick respiratory secretions?