1. A client is admitted to the emergency department due to episodes of shortness of breath. The client has been coughing productively. The client described that whenever she coughs, it feels it is coming from the lower part of the lungs. The vital signs are T 102º F, RR 27 breaths/minute, HR 105 beats per minute, BP 150/80 mm Hg and 88% oxygen saturation in room air. Based on the assessment data, which nursing actions could improve gas exchange? Elevate the head of the bed from 45 degrees to 90 degrees. Administer oxygen as prescribed. 2. After receiving report from the morning shift, you visit each of your clients in the rehabilitation center. Which of the following identified issues is your highest priority Respiratory rate increased to 30 in a client with a tracheostomy 3. When preparing for chest tube insertion, the nurse takes into consideration which facts? Most chest tube systems should be stored below the level of chest tube insertion. Monitor fluid drainage frequently, and if it is excessive, the healthcare provider should be notified. 4. A client is admitted for an elective surgery. Prior surgery, the nurse teaches the client about the ways to prevent respiratory complications after surgery. Which of the following statements from the client may suggest further teaching is necessary? "Staying in bed and resting as long as possible is the best way to get better sooner.” 5. The client is transferred from assisted living facility to emergency department due to fever, chills and shortness of breath, and confusion. Pneumonia is the suspected cause. Which diagnostic tests could help identify pneumonia Chest x-ray