Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him:
take a good nap
turn, cough and deep breathe
submit to a back rub
take some pain medication
The Correct Answer is C
A. Take a good nap: While rest is important, shallow breathing and irritability may indicate inadequate ventilation, which won't improve solely with sleep.
B. Turn, cough, and deep breathe: This helps open the airways, promotes alveolar expansion, and clears secretions, which may improve oxygenation and reduce restlessness.
C. Submit to a back rub: Although comforting, it does not directly address shallow breathing or improve oxygenation.
D. Take some pain medication: Pain control can be essential, but this action is premature without assessing whether pain is the cause of shallow breathing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Hypercapnia. Hypercapnia refers to an excessive amount of carbon dioxide in the bloodstream, typically due to hypoventilation.
B) Hypoxemia. Hypoxemia is a condition characterized by low oxygen levels in the blood, specifically the arterial blood.
C) Dyspnea. Dyspnea refers to a subjective sensation of difficulty or uncomfortable breathing.
D) Hypoxia. Hypoxia refers to a deficiency of oxygen in the tissues, not specifically in the blood.
Correct Answer is D
Explanation
A. Directly over the umbilicus: This position is too low and would not generate effective pressure on the diaphragm.
B. Directly over the sternum: Applying pressure here risks injury to the chest cavity without effectively relieving airway obstruction.
C. Between the umbilicus and the symphysis pubis: This position is too low and ineffective for compressing the diaphragm.
D. Halfway between the xiphoid process and the umbilicus: This is the correct hand placement for the Heimlich maneuver to produce effective inward and upward pressure, dislodging the obstruction.
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