Breathing assessment
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.
Sources
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