Comprehensive Respiratory System Disorders Q 83

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The nurse assesses a male client’s respiratory status. Which observation indicates that the client is experiencing difficulty breathing?

  

     A. Diaphragmatic breathing

     B. Use of accessory muscles

     C. Pursed-lip breathing

     D. Controlled breathing

    

    

Correct Answer: B. Use of accessory muscles

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The use of accessory muscles for respiration indicates the client is having difficulty breathing. Accessory muscles of respiration are muscles other than the diaphragm and intercostal muscles that may be used for labored breathing. The sternocleidomastoid, spinal, and neck muscles may be used as accessory muscles of respiration; their use is a sign of an abnormal or labored breathing pattern. Diaphragmatic and pursed-lip breathing are two controlled breathing techniques that help the client conserve energy.

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Option A: Diaphragmatic breathing is a type of breathing exercise that helps strengthen the diaphragm, an important muscle that helps breathe as it represents 80% of breathing. This breathing exercise is also sometimes called( belly breathing or abdominal breathing).

Option C: Pursed lip breathing is a technique that helps people living with asthma or COPD when they experience shortness of breath. Pursed lip breathing helps control shortness of breath, and provides a quick and easy way to slow the pace of breathing, making each breath more effective.

Option D: Controlled breathing’ (sometimes called ‘pursed lips breathing’) will help the client to get as much air as possible into the lungs. This may help to ease shortness of breath. It is one way to slow down breathing and to make each breath as effective as possible.

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