A nurse is assessing a client for early signs of hypoxemia during an asthma attack. Which manifestation should the nurse expect?

Hypotension

Nausea

Dysphagia

Confusion

Answer and Explanation

The Correct Answer is D

A: Hypotension is not an early sign of hypoxemia. It can occur in severe cases but is not typically an initial indicator.

B: Nausea is not a common sign of hypoxemia. It may occur due to other factors but is not directly related to low oxygen levels.

C: Dysphagia, or difficulty swallowing, is not a sign of hypoxemia. It is related to swallowing disorders rather than oxygen levels.

D: Confusion is an early sign of hypoxemia. Low oxygen levels can affect brain function, leading to confusion and other cognitive changes.

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Correct Answer is C

Explanation

A: Checking the client’s skin every 8 hours is not frequent enough to prevent skin breakdown in a client with urinary incontinence. More frequent checks are necessary to identify and address any issues promptly.

B: Cleaning the client’s skin and perineum with hot water can cause skin irritation and dryness. It is better to use lukewarm water and gentle cleansers to maintain skin integrity.

C: Applying a moisture barrier ointment to the client’s skin is an effective way to prevent skin breakdown. The ointment creates a protective barrier that helps keep moisture away from the skin, reducing the risk of irritation and breakdown.

D: Requesting a prescription for the insertion of an indwelling urinary catheter is not the best first-line intervention for preventing skin breakdown. Catheters carry a risk of infection and should be used only when absolutely necessary.

A. “I better chew my medication first for faster distribution.” B. “I should let the medication dissolve completely.” C. “I can only drink water, not juice, with this medication.” D. “I will place the medication between my cheek and gum.”

Correct Answer is B

Explanation

A: Chewing sublingual medication is incorrect. Sublingual medications are designed to dissolve under the tongue for rapid absorption into the bloodstream.

B: Letting the medication dissolve completely is correct. This ensures that the medication is absorbed properly and works effectively.

C: There is no restriction on drinking juice with sublingual medication unless specified by the healthcare provider. This statement does not indicate a clear understanding of sublingual administration.

D: Placing the medication between the cheek and gum is incorrect for sublingual medications. This method is used for buccal medications, not sublingual ones.

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A nurse is assessing a client for early signs of hypoxemia during an asthma attack. Which manifestation should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown?

Correct Answer is C

Explanation

A nurse teaches the patient about the prescribed sublingual medication. Which statement by the patient indicates teaching by the nurse is successful?

Correct Answer is B

Explanation

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