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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Correct Answer is C

Explanation

A. Nurses may under delegate due to time constraints, but this is not the primary cause.

B. Under delegation can occur when nurses are hesitant to delegate tasks, but it's not due to giving too much responsibility.

C. Under delegation often happens when nurses are unsure of the competence or skills of the assistive personnel.

D. A high degree of trust in delegatees typically promotes delegation rather than under delegation.

A. Pt has a history of smoking B. Tachypnea & dyspnea present. C. Patient has orthopnea D. Diaphragmatic breathing in progress E. Cheyne-Stokes respirations present

Correct Answer is ["B","C"]

Explanation

A. While a history of smoking may be relevant to the client's respiratory status, it is not directly observed in the current scenario.

B. Tachypnea (rapid breathing) and dyspnea (shortness of breath) are appropriate to document given the client's respiratory rate and complaint.

C. Orthopnea, the difficulty in breathing when lying flat, is evident from the client's statement.

D. Diaphragmatic breathing refers to a specific breathing technique and is not observed in the scenario.

E. Cheyne-Stokes respirations, a pattern of breathing characterized by alternating periods of deep and shallow breathing, are not described in the scenario.

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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 nurse is aware that a cause of under delegation in client care is:

Correct Answer is C

Explanation

Correct Answer is ["B","C"]

Explanation

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