CNA Certification (Written Exam)Basic Nursing SkillsMedium
A nurse aide observes that a resident's respirations are 32 breaths per minute and shallow. What should the nurse aide do first?
- ADocument the finding in the chart at the end of the shift without further action
- BEncourage the resident to hold their breath to slow the respiratory rate
- CWait one hour and recheck respirations to see if the rate changes
- DReport the finding to the nurse promptly, as this is above the normal range
Show answer & explanationAnswer & explanation
Correct answer: D. Report the finding to the nurse promptly, as this is above the normal range
Normal adult respiratory rate is 12-20 breaths per minute. A rate of 32 breaths per minute is significantly elevated (tachypnea) and shallow breathing may indicate respiratory distress, requiring prompt reporting to the nurse.
Why the other options are wrong
- A. Delaying reporting could put the resident at risk if this indicates distress.
- B. Nurse aides should never instruct residents to hold their breath; this is unsafe and outside scope of practice.
- C. Waiting an hour could delay needed intervention for a potentially serious finding.
Abnormal Respiratory Rate (Tachypnea)
A respiratory rate above 20 breaths per minute in an adult is considered abnormal and should be reported promptly.
- Normal adult respiration: 12-20 breaths/min
- Rates above 20 = tachypnea, below 12 = bradypnea
- Shallow, rapid breathing may indicate respiratory distress
Memory trick: '12 to 20 keeps breathing serene — above that, report the scene!'