Which statement describes the proper steps for counting and recording respirations?

Which statement describes the proper steps for counting and recording respirations?

• A. Explain the procedure, count respirations for one full minute, call light within reach, bed lowered, wash hands, and record within plus or minus 2 breaths.
• B. Explain briefly, count for 30 seconds, and record.
• C. Count respirations while the resident talks to you.
• D. Do not explain the procedure to the resident.

Answer: (A)

Counting respirations accurately relies on observing the resident at rest for a full minute while keeping safety and infection control in mind. Start by explaining the procedure to the resident so they understand what you’ll do and to help them feel comfortable. Then count for a full 60 seconds, ideally with the resident quiet and not talking, because speech can change the rate and depth of breathing. Before you begin, make the environment safe—keep the bed in a lowered position and the call light within reach—and perform hand hygiene before and after the procedure. When you finish, record the respiration rate promptly and note that it should be within plus or minus 2 breaths to reflect a proper measurement. Explaining the procedure, taking a full-minute count, and attending to safety and hygiene are essential to an accurate and respectful assessment. Counting for only 30 seconds or counting while the resident is talking would compromise accuracy.

Counting respirations accurately relies on observing the resident at rest for a full minute while keeping safety and infection control in mind. Start by explaining the procedure to the resident so they understand what you’ll do and to help them feel comfortable. Then count for a full 60 seconds, ideally with the resident quiet and not talking, because speech can change the rate and depth of breathing. Before you begin, make the environment safe—keep the bed in a lowered position and the call light within reach—and perform hand hygiene before and after the procedure. When you finish, record the respiration rate promptly and note that it should be within plus or minus 2 breaths to reflect a proper measurement. Explaining the procedure, taking a full-minute count, and attending to safety and hygiene are essential to an accurate and respectful assessment. Counting for only 30 seconds or counting while the resident is talking would compromise accuracy.