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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Poor skin turgor may indicate dehydration but is not directly related to oxygenation status.

B. Cyanosis, a bluish discoloration of the skin or mucous membranes, is a serious indication of decreased oxygenation.

C. Clubbing of the nails may be a sign of chronic hypoxia but is not as immediate an indication of deteriorating oxygenation as cyanosis.

D. Pursed-lip breathing is a compensatory mechanism often seen in clients with chronic obstructive pulmonary disease (COPD) but does not directly indicate deteriorating oxygenation as cyanosis does.

A. RLQ B. LLQ C. LUQ D. RUQ

Correct Answer is A

Explanation

A. RLQ (right lower quadrant) is where the appendix is located in the abdomen.

B. LLQ (left lower quadrant) does not describe the location of the appendix.

C. LUQ (left upper quadrant) do not describe the location of the appendix.

D. RUQ (right upper quadrant) do not describe the location of the appendix.

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The best way for the nurse to assess a client's level of dyspnea is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing assessment finding that represents the most serious indication of a client's deteriorating oxygenation status is:

Correct Answer is B

Explanation

Which abbreviation would describe the location of a client's appendix?

Correct Answer is A

Explanation

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