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The Nurse Notifies the Health Care Provider of a Change

Question 117

Multiple Choice

The nurse notifies the health care provider of a change in client condition.  Which of the following reports given by the nurse includes the most appropriate and complete information?


A) "A 43-year-old client with pneumonia in room 343 has wheezing, crackles, and diminished breath sounds.  Temperature is 101.2 F (38.4 C) , respirations are 36/min, and pulse oximeter shows 90%.  I think the client may need arterial blood gas testing."
B) "A 75-year-old client in room 474 is in respiratory distress.  The respiratory therapist (RT) gave a breathing treatment, but the client is deteriorating rapidly.  The RT did not hear left side breath sounds and recommends a chest x-ray."
C) "An 80-year-old client in room 234 with a history of heart failure was admitted today for pneumonia and is receiving oxygen and antibiotics.  The client is dyspneic and restless, and oxygen saturation is now 89%.  Would you like me to increase the oxygen flow rate?"
D) "The client with pneumonia in room 265 is reporting shortness of breath.  The RT gave the client a breathing treatment 30 minutes ago, but the client is no better.  Would you like to prescribe any laboratory tests or make any changes to the treatment?"

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