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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale: Restlessness, confusion, and tachycardia are early signs of hypoxia, indicating inadequate oxygenation.

Choice B rationale: Bradycardia, dyspnea, and cyanosis are more indicative of advanced hypoxia.

Choice C rationale: Hypotension, vomiting, and cyanosis may suggest severe hypoxia or other medical issues but are not typically early signs.

Choice D rationale: Bradycardia, lethargy, and confusion are not typical early signs of hypoxia.

A. may be caused when one layer of tissue slides over another layer of tissue. B. requires dressing changes twice daily to promote healing. C. is usually caused by overhydration. D. is a partial thickness injury caused by pressure

Correct Answer is A

Explanation

Choice A rationale: A DTI is a type of pressure injury that occurs when the skin and underlying soft tissue are compressed between a bony prominence and an external surface for a prolonged period of time.

Choice B rationale: Dressing changes for a DTI would depend on the severity and characteristics of the injury, but a specific frequency is not universally prescribed. Choice C rationale: A DTI is not typically caused by overhydration but is associated with pressure-related damage to underlying tissues.

Choice D rationale: DTI is not a partial thickness injury, but rather an injury to the deep layers of tissue that may not be visible on the surface. A partial thickness injury involves damage to the epidermis and/or dermis, such as a stage 2 pressure ulcer.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse recognizes that the client is manifesting early signs of hypoxia when the assessment data includes:

Correct Answer is A

Explanation

A nurse is admitting a patient who has a DTI (deep tissue injury) to the hospital. The nurse understands that a DTI:

Correct Answer is A

Explanation

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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?

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