A nurse in the emergency department is assessing a newly-admitted infant. Which of the following findings is an early indication of hypoxemia?
Hypoventilation
Tachypnea
Nonproductive cough
Nasal stuffiness
The Correct Answer is B
Choice A reason: Hypoventilation is a late sign of hypoxemia and is characterized by an abnormally slow breathing rate, reducing oxygen intake and increasing carbon dioxide in the blood.
Choice B reason: Tachypnea, or rapid breathing, is an early sign of hypoxemia as the body attempts to increase oxygen levels by breathing more quickly.
Choice C reason: A nonproductive cough is not directly related to hypoxemia, which is a deficiency in the amount of oxygen reaching the tissues.
Choice D reason: Nasal stuffiness is not a specific indicator of hypoxemia and can be associated with various conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While the Fowler's position can aid in breathing, it is not the first action to take if the oxygen saturation monitor is reading low.
Choice B reason: Ensuring the proper placement of the sensor probe is the first step, as incorrect placement can lead to inaccurate readings.
Choice C reason: Increasing the oxygen flow rate should only be considered after confirming the accuracy of the oxygen saturation reading.
Choice D reason: Encouraging deep breaths may be helpful, but it is not the first action to take. The priority is to ensure the oxygen saturation reading is accurate.
Correct Answer is D
Explanation
Choice A reason: Zanamivir is indeed recommended for children 1 year and older, but it is not the only antiviral medication for influenza. It is an inhaled medication and may not be suitable for all children.
Choice B reason: Amantadine is an antiviral medication; however, it is not commonly used for influenza prevention due to resistance. It is also not recommended for children under 1 year of age.
Choice C reason: Rimantadine is similar to amantadine and is administered orally, not intramuscularly. Like amantadine, resistance has limited its use for influenza treatment and prevention.
Choice D reason: Oseltamivir is an oral antiviral medication that can treat influenza if given within 48 hours of symptom onset. It can reduce the duration of symptoms and is suitable for children and adults.
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