Multiple Choice
A client is admitted with long-standing chronic obstructive pulmonary disease (COPD) and is at risk for respiratory failure.Every 4 hours, the nurse performs a focused respiratory assessment.Which assessment action will the nurse include during each reassessment? Select all that apply.
A) Neck vein distention
B) Color of nail beds
C) Presence of sternal retractions
D) Temperature of extremities
E) SpO2
Correct Answer:
Verified
Correct Answer:
Verified
Q15: The nurse provides care for a client
Q16: The nurse is performing a physical assessment
Q17: The initial assessment of a client admitted
Q18: The nurse performs a focused assessment.Which condition
Q19: The charge nurse is presenting recently licensed
Q21: The nurse plans additional time to build
Q22: After completing the initial head-to-toe shift assessment,
Q23: The nurse is performing a focused assessment
Q24: When positioning a client to listen to
Q25: The nurse is admitting a client diagnosed