A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity?
Hyperventilation
Increased blood pressure
Decreased PaCO2
Unconsciousness
The Correct Answer is D
Choice A reason: Hyperventilation can be a sign of oxygen toxicity as the body attempts to balance oxygen and carbon dioxide levels.
Choice B reason: Increased blood pressure is not typically a direct sign of oxygen toxicity; it may be related to other underlying conditions.
Choice C reason: Decreased PaCO2 can be a result of hyperventilation, which is a compensatory mechanism in response to oxygen toxicity.
Choice D reason: Unconsciousness can be a severe sign of oxygen toxicity, indicating a high level of oxygen in the blood affecting brain function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Separation anxiety is common in early childhood and typically resolves as the child develops, usually by around age 2 or 3.However, it can also be present in school-age children, especially if it develops into separation anxiety disorder.
Choice B reason: This is not typically included in teaching about separation anxiety. Detachment might be a response to prolonged separation or hospitalization, but it is not a stage of separation anxiety.
Choice C reason:
While kicking a stranger can be a manifestation of separation anxiety, it’s more constructive to focus on common symptoms such as excessive worry when apart from home or family, or panic and fear at the time of separation
Choice D reason: Separation anxiety that is severe and persistent can lead to challenges in adaptability and functioning. It’s important for caregivers to recognize symptoms and seek help if the anxiety interferes with daily life.
Correct Answer is B
Explanation
Choice A reason: Removing personal objects from the room is not reflective of palliative care principles, which focus on comfort and personal significance.
Choice B reason: Listening and responding to the family's discussions about their child's life aligns with the holistic approach of palliative care, which includes emotional support.
Choice C reason: Expressing personal feelings of missing the client is not indicative of an understanding of palliative care roles and responsibilities.
Choice D reason: Being hopeful about new medications is not relevant to palliative care, which focuses on quality of life rather than curative treatment.
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