Breathing assessment

  • NCLEX-PN
  • Reduction of Risk Potential
  • Drag and drop
  • Difficulty 3 of 5

Question

A nurse reviews separate observations from an adult respiratory check. Sort each as expected or unexpected.

Expected

  • Both sides of the chest rise equally
  • Breathing follows a regular rhythm

Unexpected

  • Breathing requires visible effort
  • New wheezes are heard

Answer

Expected: Both sides of the chest rise equally; Breathing follows a regular rhythm · Unexpected: Breathing requires visible effort; New wheezes are heard

Rationale

Symmetric movement and a regular pattern fit an expected respiratory check. Effortful breathing and additional lung sounds are departures from that pattern.

RememberObserve breathing effort and listen for added sounds.

Sources

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