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Multiple Choice
The nurse is performing an assessment of the respiratory system. What is the nurse most likely assessing in this client?
A
Heart rate using a pulse oximeter
B
Blood pressure using a sphygmomanometer
C
Reflexes using a reflex hammer
D
Lung sounds using a stethoscope
Verified step by step guidance
1
Begin by understanding the primary function of the respiratory system, which is to facilitate gas exchange, primarily oxygen and carbon dioxide, between the body and the environment.
Recognize that assessing the respiratory system involves evaluating the function and condition of the lungs and airways.
Identify the tools commonly used for respiratory assessment. A stethoscope is a key instrument used to listen to lung sounds, which can provide information about airflow and potential obstructions or abnormalities.
Differentiate between the tools mentioned: a pulse oximeter measures oxygen saturation and heart rate, a sphygmomanometer measures blood pressure, and a reflex hammer is used for neurological reflexes, none of which directly assess lung function.
Conclude that the nurse is most likely using a stethoscope to assess lung sounds, as this directly relates to evaluating the respiratory system's condition and function.