A client is recently diagnosed with pneumonia. The nurse observes the client sitting upright in the bed and assesses a respiratory rate of 26. The client states, "I can't catch my breath." Which abbreviation would be used to document this presentation?
R/O
S/P
SOB
DOB
The Correct Answer is C
Choice A rationale: R/O (rule out) is not appropriate for documenting the client's current presentation.
Choice B rationale: S/P (status post) is not appropriate for describing the client's current respiratory distress.
Choice C rationale: SOB (shortness of breath) is the correct abbreviation to document the client's difficulty in breathing.
Choice D rationale: DOB (date of birth) is not relevant to the client's respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Placing the client in reverse Trendelenburg position is not the first priority; protecting the wound is more critical.
Choice B rationale: Administering IV antibiotics STAT is not the first priority in the presence of evisceration.
Choice C rationale: Using sterile gloves to replace the protruding parts is not the first intervention; covering the wound takes precedence.
Choice D rationale: Applying a sterile normal saline dressing is the first priority to cover and protect the exposed abdominal contents.
Correct Answer is C
Explanation
Choice A rationale: Changing the soiled dressing carefully is important but not specifically associated with caring for a Penrose drain.
Choice B rationale: Pinning the drain to the dressing is not typically done; securing the drain and preventing tension are important.
Choice C rationale: Allowing the drain reservoir to fill completely before emptying it is a crucial nursing action associated with caring for a Penrose drain.
Choice D rationale: Maintaining the negative pressure of the drain is not applicable to a Penrose drain, which relies on gravity drainage.
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