While ambulating the hall, the client begins to complain of shortness of breath and difficulty breathing. Which term should be documented in the client's medical record?

Tachypnea

Bradypnea

Eupnea

Dyspnea

Answer and Explanation

The Correct Answer is D

A.   Tachypnea refers to an increased respiratory rate. It is used when a client is breathing faster than normal. While tachypnea could be associated with difficulty breathing, it specifically denotes a faster- than-normal rate of breathing, not the sensation of breathlessness or difficulty.
B.   Bradypnea is the term used for a slower-than-normal respiratory rate. If a client’s breathing rate is slower than usual, bradypnea would be the appropriate term. However, this term does not describe the sensation of shortness of breath or difficulty breathing.
C.   Eupnea is the term for normal, unlabored breathing. This term is used when the client’s breathing is neither too fast nor too slow and is comfortable. It does not apply to the situation described, where the client is experiencing difficulty breathing.
D.   Dyspnea refers to the sensation of shortness of breath or difficulty breathing. It is the term used to describe the subjective experience of feeling like one cannot get enough air or is having trouble breathing.

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Correct Answer is ["A","C","E","F"]

Explanation

A. This is a diagnostic test used to determine if a client has been exposed to tuberculosis (TB). It is a secondary data source because it provides information about potential TB infection which can affect respiratory health.
B. While low socioeconomic status can impact health and access to healthcare, it is not a direct diagnostic tool or test for assessing the respiratory system. Instead, it is a social determinant that may influence health outcomes but does not provide direct data about the respiratory system itself.
C. A CBC is a laboratory test that provides information on various components of the blood, including red blood cells, white blood cells, and platelets. It can give insights into conditions that might affect the respiratory system, such as anemia or infections.
D. Male gender is a demographic characteristic rather than a diagnostic or data-gathering tool. While gender may influence the prevalence of certain respiratory conditions, it does not itself provide direct information or data about respiratory health.
E. ABG tests measure the levels of oxygen and carbon dioxide in the blood, as well as the blood’s pH balance. This test provides crucial information about a client’s respiratory function and is considered a secondary data source because it results from a specific diagnostic test rather than direct observation or physical assessment.
F. A chest x-ray is a diagnostic imaging test that provides detailed pictures of the lungs and chest cavity. It can reveal abnormalities such as infections, tumors, or fluid in the lungs. Since it is a test conducted outside of direct physical examination, it is classified as a secondary data source.

A. Atelectasis B. Pulmonary obstruction C. Pneumonia D. Bronchitis

Correct Answer is C

Explanation

A. Atelectasis refers to the collapse or incomplete expansion of a lung or a portion of a lung. It can cause decreased breath sounds and dullness upon percussion, but it is less likely to present with a fever as high as 102.1°F. However, atelectasis can occur secondary to an obstructive pneumonia, making the distinction important in clinical settings.
B. Pulmonary obstruction, such as from an obstruction of the airway or bronchus, might cause symptoms like difficulty breathing and decreased oxygen saturation. However, it would less commonly present with fever and localized crackles.
C. Pneumonia often presents with symptoms such as fever (elevated temperature of 102.1°F), increased respiratory rate (30 breaths per minute), decreased oxygen saturation (90% on room air), and abnormal lung findings. The decreased expansion and dullness over the right lung, along with crackles (rales) heard in the right lower lobe, are indicative of fluid accumulation and inflammation in the lung, which are characteristic of pneumonia.
D. Acute bronchitis involves inflammation of the bronchi and is often associated with a cough, sputum production, and sometimes fever. However, it typically presents with a productive cough and wheezing rather than localized dullness and crackles confined to one lobe.

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While ambulating the hall, the client begins to complain of shortness of breath and difficulty breathing. Which term should be documented in the client's medical record?

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Naxlex Comprehensive Predictor Exams

The medical-surgical charge nurse is conducting a training workshop for a group of new nurses. Which information would the nurse include in the training as secondary data sources of a client's respiratory system? Select all that apply.

Correct Answer is ["A","C","E","F"]

Explanation

Upon assessment, the nurse noted a temperature of 102.1, respirations of 30 breaths per minute, oxygen saturation of 90% on room air, decreased expansion and dullness over the right lung, and crackles heard on the right lower lobe. Which condition should the nurse suspect?

Correct Answer is C

Explanation

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