The nurse is assessing a client with a history of chronic obstructive

The nurse is assessing a client with a history of chronic obstructive pulmonary disease. When as-sessing for the presence of air hunger, the nurse should:

1. Monitor the client’s pulse oximetry reading
2. Measure the movement of air by counting respirations
3. Auscultate breath sounds both anteriorly and posteriorly
4. Observe for the elevation of the client’s clavicles during inspiration

ANSWER

ANS: 4
During an assessment, observe for elevation of the client’s clavicles during inspiration. Elevation of the clavicles during inspiration can indicate ventilatory fatigue, air hunger, or decreased lung expansion. Although the remaining options are assessment methods, they are not as effective for determining air hunger.