14 the nurse assesses a patients respirations who was

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Essentials of Abnormal Psychology
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Chapter 8 / Exercise 2
Essentials of Abnormal Psychology
Barlow/Durand
Expert Verified
14. The nurse assesses a patient’s respirations who was recently admitted with a traumatic head injury. The nurse expects to find which type of breathing during the assessment?
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Essentials of Abnormal Psychology
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Chapter 8 / Exercise 2
Essentials of Abnormal Psychology
Barlow/Durand
Expert Verified
DIF: Cognitive Level: Application REF: 273 OBJ: 4 (theory) TOP: Biot’s Respiration KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 15. After having the postoperative patient deep-breathe and cough, the nurse should offer:
DIF: Cognitive Level: Comprehension REF: 274 OBJ: 5 (theory) TOP: Mouth Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 16. A patient is admitted to the medical unit with an acute illness accompanied by a fever for the last 3 days. What will likely be the patient’s respiratory response?
DIF: Cognitive Level: Application REF: 273 OBJ: 2 (theory) TOP: Hypocapnia KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Physiological Adaptation 17. The nurse is caring for a patient with COPD who has been in the hospital for several days. The patient complains of shortness of breath and asks the nurse to turn up his oxygen to compensate for his labored breathing. What is the best nursing response?
a. Turn up the patient’s oxygen flow by 1 liter. b. Call the physician for an order to turn up the oxygen. c. Assess the patient in an attempt to identify the cause of the shortness of breath. d. Ask the patient what he usually keeps his oxygen set on at home. ANS: C The nurse should assess the patient for possible causes of the shortness of breath before calling the physician. The nurse may be able to implement nursing interventions, or may need to contact the physician for orders based on the assessment findings. Since the COPD patient’s respiratory drive is lowering levels of PO 2

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