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A Patient Who Was Admitted with Long-Standing Chronic Obstructive Pulmonary

Question 42

Multiple Choice

A patient who was admitted with long-standing chronic obstructive pulmonary disease (COPD) is at risk for respiratory failure. Every 4 hours, the nurse will perform a focused respiratory assessment, which includes which of the following?


A) Neck vein distention
B) Color of nailbeds
C) Presence of sternal retractions
D) Temperature of extremities
E) SpO2

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