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Week 3 BSN205
Vital Signs: Lesson 4 Post-Test
| Question | Answer |
|---|---|
| What is an appropriate nursing intervention for an adult patient with a respiratory rate of 30 breaths per minute? (Select all that apply.) | Count the respiratory rate again for a full 60 seconds (1 minute). Assess physiologic factors that may be causing the patient to breathe so fast. |
| Which of the following may increase both rate and depth of respiration? (Select all that apply.) | Walking 1 mile briskly. Feeling anxious when taking a test. Having an addiction problem with amphetamines/cocaine. |
| When assessing the respiratory rate, the nurse has difficulty seeing the patient's chest rise and fall with inspiration and expiration. What is the nurse’s best action? | Move the patient's arm over their chest and feel the rise and fall of the chest. |
| How can the nurse best obtain an accurate measurement of a patient’s respiratory rate? | Continue to act as though taking the patient’s pulse while discretely observing the rise and fall of the patient’s chest. |
| The nurse is validating the NAP’s skill with respiratory rate assessment. Which of the following actions, if made by the NAP, indicates that further instruction is needed? | When a patient inhales a breath, the NAP counts that as one, and when the patient exhales the breath, the NAP counts that as two. |
Created by:
Mrsbradley21
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