The best way for the nurse to assess a client's level of dyspnea is to:
ask if shortness of breath is being experienced.
observe the client at rest and during activity.
auscultate lung sounds,
read previous documentation on the client's chart.
The Correct Answer is B
A. Asking if shortness of breath is being experienced can provide subjective information but may not accurately assess the severity of dyspnea.
B. Observing the client at rest and during activity allows the nurse to assess the client's respiratory effort and the impact of dyspnea on functional ability.
C. Auscultating lung sounds is important for assessing respiratory function but may not directly assess the level of dyspnea.
D. Reading previous documentation may provide historical context but does not directly assess the client's current level of dyspnea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. Assessing the wound requires specialized training and should be performed by licensed nursing personnel.
B. Emptying the urine from the indwelling catheter bag is within the scope of practice for UAP.
C. Documenting the client's response to the antibiotic requires interpretation and assessment, which should be done by licensed nursing personnel.
D. Taking an oral temperature is within the scope of practice for UAP.
E. Checking for tunneling with a cotton-tipped applicator requires specialized training and should be performed by licensed nursing personnel.
Correct Answer is B
Explanation
A. Common purpose refers to the team's shared goals and objectives.
B. While working in the same department can facilitate teamwork, it is not a necessary feature of a team.
C. Shared responsibility involves team members collectively taking accountability for achieving goals.
D. Mutual independence suggests that team members rely on each other while maintaining autonomy within their roles.
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