Question Report Issue Explained for Students (Easy Guide)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to question report issue and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves question report issue. A strong answer should include explanation, application, and examples.
Original Question
Question 148: Report an Issue A nurse is assisting in the care of an older adult client who was admitted from a long-term care facility. Nurses ‘ Notes 1500: The client is restless and is not following commands. The client does not tolerate lying flat. Skin warm and dry. Regular heart sounds without murmur. Respirations labored. Breath sounds with the right- sided crackles and wheezes in the posterior lower lobe. Abdomen soft, nondistended with positive bowel sounds in all four quadrants. Tremors in hands. Explanation A. Oxygen saturation level: The client is restless, not following commands, and has labored respirations with crackles and wheezes in the breath sounds. Monitoring the oxygen saturation level is essential to assess the client’ s respiratory status and oxygenation. B. Tremors: The client has tremors in their hands. Considering the client’ s history of Parkinson ‘ s disease, changes in tremors should be monitored and addressed promptly. C. The immediate concern is addressing the respiratory distress. D. Heart rate may also be monitored, but it’ s not as critical in this context. E. Chronic health conditions are relevant for the overall care plan, but they do not require immediate intervention as compared to respiratory and tremor Admission Assessment 1400: The client’ s history includes cigarette smoking for 50 years but quit 3 years ago, Parkinson ‘ s disease, and anxiety. Yesterday, the client reported “feeling bad.” The client is alert and oriented to self, reports upper chest discomfort, and is coughing up thick clear sputum. Select the 3 findings that require immediate follow-up. A. Oxygen saturation level B. Tremors C. Current level of consciousness D. Heart rate E. Chronic health condition F. Respiratory rate
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