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A nurse is assessing a client for hypoxemia during an asthma attack.
Which of the following manifestations should the nurse expect?

Agitation.

Dysphagia.

Nausea.

Hypotension.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Agitation is a common manifestation of hypoxemia due to insufficient oxygen reaching the brain and other vital organs.

Choice B rationale

Dysphagia, or difficulty swallowing, is not a typical manifestation of hypoxemia during an asthma attack.

Choice C rationale

Nausea can occur but is not a primary indicator of hypoxemia.

Choice D rationale

Hypotension may occur with severe hypoxemia but is not a direct manifestation of asthma-related hypoxemia.

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Correct Answer is C

Explanation

Choice A rationale

Bubbling in the water seal chamber with exhalation indicates that air is still being removed from the pleural space, which is expected with a pneumothorax and is not a cause for immediate concern.

Choice B rationale

Eyelets not being visible indicate that the chest tube is properly placed within the pleural space, not an urgent issue.

Choice C rationale

Movement of the trachea towards the unaffected side is a sign of tension pneumothorax, which requires immediate intervention as it can compromise respiratory function.

Choice D rationale

Crepitus in the area above and surrounding the insertion site indicates subcutaneous emphysema, which can occur but does not necessitate immediate provider notification unless severe.

A. Obtain a prescription for supplemental oxygen. B. Obtain a prescription to administer intravenous fluids. C. Obtain a prescription to administer insulin. D. Obtain a prescription to check the client's glucose level.

Correct Answer is A

Explanation

Choice A rationale

Obtaining a prescription for supplemental oxygen is the first action as hypoxia must be corrected immediately to ensure adequate tissue oxygenation.

Choice B rationale

Obtaining a prescription to administer intravenous fluids is essential to address dehydration but is secondary to correcting hypoxia.

Choice C rationale

Obtaining a prescription to administer insulin is crucial to manage hyperglycemia in diabetic ketoacidosis but not the initial step in this context.

Choice D rationale

Obtaining a prescription to check the client's glucose level is necessary for monitoring but does not address the immediate need for oxygenation.

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A nurse is assessing a client for hypoxemia during an asthma attack.Which of the following manifestations should the nurse expect?

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A nurse is assessing a client for hypoxemia during an asthma attack.
Which of the following manifestations should the nurse expect?