The nurse is caring for an adult patient with a respiratory rate of 32 breaths/minute. Which term will the nurse use to document this finding in the patient's chart?
Bradypnea
Apnea
Tachypnea
Eupnea
The Correct Answer is C
A. Bradypnea refers to an abnormally slow respiratory rate, typically below 12 breaths per minute in an adult. A rate of 32 breaths/min is too fast to be considered bradypnea.
B. Apnea is the absence of breathing for a prolonged period. Since the patient has a respiratory rate of 32 breaths/min, apnea does not apply.
C. Tachypnea is defined as a rapid respiratory rate exceeding 20 breaths per minute in an adult. A rate of 32 breaths/min indicates tachypnea, which may be caused by conditions such as fever, anxiety, or respiratory distress.
D. Eupnea refers to normal breathing, with a respiratory rate between 12–20 breaths per minute. A rate of 32 breaths/min is too high to be considered eupnea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Client A has normal vital signs except for a mild fever, no urgent intervention needed.
Client B shows mild tachycardia and increased respiratory rate, but oxygen saturation and blood pressure remain stable, requires monitoring but not immediate action.
Client C has fever, tachycardia, and tachypnea, suggesting infection or dehydration. While assessment is needed, the patient is not in immediate distress compared to Client D.
Client D requires immediate nursing intervention due to the following critical findings: Bradycardia which may indicate poor perfusion, conduction abnormalities, or medication side effects, bradypnea can signal respiratory depression or impending failure, hypotension suggests shock or decreased perfusion, which may lead to organ failure and hypoxia, oxygen saturation below 90% is a critical finding and requires immediate intervention.
Correct Answer is ["50.9"]
Explanation
Calculation:
To convert pounds to kilograms, use the formula:
Kg = lb/2.2
Substituting the given value:
Kg = 112.2/2.2
= 50.9kg
Thus, 112.2 lb = 50.9 kg.
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