Hi, I'm a fairly new nursing student struggling with a few questions on a case study on breathing patterns.
Here's the study:
Josh Haskell, a nine-year-old boy, is brought to the Health Center by his mother because he is experiencing dyspnea and a cough.
The nurse assesses Josh's vital signs. His respirations are rapid and shallow.
What is the best technique for the nurse to use to assess Josh's respirations accurately?
A) Observe chest expansion for fifteen seconds and multiply by four.
B) Encourage Josh to breathe as deeply and slowly as possible.
C) Watch for nasal flaring and count the air exchanges with each movement.
D) Place a hand on Josh's chest and count the hand motion.
I think the answer is C, but not sure?
To determine the need for the application of a nasal cannula, which assessment is most important for the nurse to perform?
A) Measure oxygen saturation.
B) Auscultate breath sounds.
C) Measure capillary refill.
D) Observe chest excursion.
In assessing Josh's breath sounds, the nurse should ask him to perform which action?
A) Hold his breath for fifteen seconds.
B) Repeat the phrase, "Ninety-nine."
C) Cough deeply after each breath.
D) Breathe deeply through the mouth.
To measure capillary refill, the nurse must first perform which action?
A) Count Josh's radial pulse.
B) Compress Josh's nailbed.
C) Obtain a healthcare provider's prescription.
D) Elevate the extremity to be assessed.
Any help on any of these questions would be much appreciated!!