1. A patient with pneumonia has been using the incentive spirometer four times daily while awake during his 3-day hospitalization. How would the nurse explore the effectiveness of this intervention?
a.The nurse would ask whether the patient was breathing better.
b.The nurse would add turn, cough, and deep breathing exercises.
c.The nurse would watch the patient use the incentive spirometer.
d.The nurse would auscultate the lungs for adventitious breath sounds.

2.An RN is making assignments on a medical-surgical unit. Which patient could the RN assign to a float RN from the maternity unit?
a.A 68-year-old female patient with COPD and viral pneumonia
b.A 60-year-old female patient with atrial fibrillation and a heart rate of 150
c.A 50–year-old male patient post open heart surgery whose blood pressure is 90/50
d.A 36-year-old male patient who is severely neutropenic awaiting chemotherapy

3.Which nursing diagnosis would be a priority for a patient in acute respiratory distress?
a.Pain
b.Reduced gas exchange
c.Reduced stamina
d.Need for health teaching

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1 d The nurse would auscultate the lungs for adventitious breath sounds To explore the effectiveness ... View the full answer