Asked by Andrea Aguirre on Jun 06, 2024
Verified
The nurse is assessing a patient for the adequacy of ventilation. What assessment findings would indicate the patient has good ventilation? (Select all that apply.)
A) Respiratory rate is 24 breaths/min.
B) Oxygen saturation level is 98%.
C) The right side of the thorax expands slightly more than the left.
D) Trachea is just to the left of the sternal notch.
E) Nail beds are pink with good capillary refill.
F) There is presence of quiet, effortless breath sounds at lung base bilaterally.
Oxygen Saturation
The percentage of hemoglobin binding sites in the bloodstream occupied by oxygen, a critical measure of respiratory efficiency.
Thorax Expands
The increase in chest volume during inhalation, facilitated by the muscles of respiration, allowing air to enter the lungs.
Trachea
The windpipe, a large membranous tube with cartilage rings that conveys inhaled air from the larynx to the bronchi.
- Assess the adequacy of a patient's ventilation through specific assessment findings.
Verified Answer
EB
Erlesha BasconJun 13, 2024
Final Answer :
B, E, F
Explanation :
Oxygen saturation level should be between 95 and 100%; nail beds should be pink with capillary refill of about 3 seconds; and breath sounds should be present at base of both lungs. Normal respiratory rate is between 12 and 20 breaths/min. The trachea should be in midline with the sternal notch. The thorax should expand equally on both sides.
Learning Objectives
- Assess the adequacy of a patient's ventilation through specific assessment findings.