Monitoring for Health Problems (9)
QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
(BRAND NEW!! 2024/ 2025[NEXT GEN]
A client who has just undergone bronchoscopy was returned
to the nursing unit 1 hour ago. With which assessment
finding is the nurse most concerned?
A. Oxygen saturation of 97%
B. Equal breath sounds in both lungs
C. Absence of cough and gag reflexes
D. Respiratory rate of 20 breaths/min - CORRECT ARNSWER
C. Absence of cough and gag reflexes
Rationale: The absence of cough and gag reflexes is of
greatest concern to the nurse because it indicates that the
client does not have protective airway reflexes and is at risk
of aspiration. Bilaterally equal breath sounds are a normal
finding indicating an absence of complications such as
hemothorax or pneumothorax. A respiratory rate of 20
breaths/min and an oxygen saturation of 97% are normal
measurements.
A nurse provides information to a client who is scheduled for
cardiac catheterization to rule out coronary occlusion. The
nurse should tell the client that: - CORRECT ARNSWER D.
The client may have feelings of warmth or flushing during the
procedure Correct
Rationale: The nurse tells the client about to undergo cardiac
catheterization room that the procedure is performed in a
darkened room in the radiology department. A local
anesthetic is used, so there is little or n
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