What subjective data should the nurse obtain about a client's respiratory status? Select all that apply.

question the patient about shortness of breath

palpate the chest and back for masses

inspect the skin and nails for integrity and color

Ask the patient about color and quantity of sputum

auscultate for lung sounds anteriorly and posteriorly

Answer and Explanation

Correct Answer : A,D

A. Asking about shortness of breath is critical subjective data that indicates respiratory distress.
B. Palpating for masses is more of a physical assessment and does not yield subjective data.
C. Inspecting skin and nails is also part of the objective assessment rather than subjective data.
D. Inquiring about the color and quantity of sputum provides important subjective data related to respiratory function.
E. Auscultation is an objective assessment technique and does not pertain to subjective data.

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Correct Answer is A,E,D,F,C,B

Explanation

Unoxygenated blood flows from the body into the right atrium, then passes through the pulmonary artery to the lungs. After receiving oxygen in the lungs, blood flows back to the heart via the pulmonary vein into the left atrium. It then moves into the left ventricle and is finally pumped out to the body through the aorta.

A. Normal sounds auscultated up against the sternum B. Bronchovesicular sounds that are normal over that location C. Bronchial sounds that are normal over that location D. Normal sounds auscultated over the trachea E. Vesicular breath sounds that are normal in that location

Correct Answer is E

Explanation

A. Normal sounds against the sternum would not be low-pitched or soft; they would typically be more pronounced.
B. Bronchovesicular sounds are medium-pitched and are not expected in the lower lobes; they are usually heard in the central area.
C. Bronchial sounds are high-pitched and hollow, typically heard over the trachea, not in the lower lobes.
D. Normal sounds over the trachea would not be described as low-pitched or soft.
E. Vesicular breath sounds are soft, low-pitched, and normal over peripheral lung fields, including the lower lobes, making this the correct interpretation.

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What subjective data should the nurse obtain about a client's respiratory status? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A,E,D,F,C,B

Explanation

When auscultating the lungs of an adult client, the nurse notes that low-pitched, soft breath sounds are heard over the lower lobes. How would the nurse interpret these findings?

Correct Answer is E

Explanation

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