The Nurse Notes That the Patient Is Utilizing Accessory and Intercostal

question 36

Multiple Choice

The nurse notes that the patient is utilizing accessory and intercostal muscles to breathe.What is the priority action of the nurse?

• A) Document this normal assessment finding in the patient's medical record.
• B) Elevate the head of the bed and listen to the patient's lung sounds.
• C) Direct the nursing assistant to obtain the patient's temperature and blood pressure.
• D) Instruct the patient about the importance of smoking cessation.

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Definitions:

Canadian Families

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A pattern of abusive behaviors in family relationships, including physical, sexual, psychological abuse, or neglect.

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Economic policies aimed at reducing government deficits and debt accumulation by means of spending cuts, tax increases, or a mix of both.