Data Collection Findings for a Patient Include Shortness of Breath

question 22

Multiple Choice

Data collection findings for a patient include shortness of breath with crackles in the lung bases, jugular vein distention, daily weight increased by 3 pounds from yesterday, report of chest pain, blood pressure 86/40 mm Hg, pulse 132 beats/minute, and respirations 30/minute. Which of these orders should the nurse question?

• A)Electrocardiogram (ECG) STAT
• B)500 mL 0.9% NS over 30 minutes
• C)Arterial blood gases (ABGs) STAT and repeat in 1 hour
• D)Oxygen 2 L/min via nasal cannula

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Definitions:

Progress Report

A report that outlines for a customer or a client the status of a project.

Memorandum

A written message used in business and government, typically for internal communication, to convey information or decisions.

Formal

Pertaining to or following established, traditional rules or principles, especially in a social or cultural setting.

Decoder

A device or program that translates encoded data into its original format; in communication, someone who interprets the message.