A nurse is caring for a client who has a respiratory illness that has resulted in chronic hypoxia. Which of these conditions can develop as a result of long-term hypoxia?
Cardiac enlargement
Exophthalmos
Gastric ulcerations
Urinary tract infections
The Correct Answer is A
A. Cardiac enlargement: Chronic hypoxia leads to increased workload on the heart as it works harder to deliver oxygen to tissues. This can result in cardiac enlargement or right-sided heart failure due to pulmonary hypertension, a common consequence of long-term hypoxia.
B. Exophthalmos: Exophthalmos is protrusion of the eyes and is typically associated with thyroid disorders, such as Graves' disease, rather than chronic hypoxia.
C. Gastric ulcerations: While stress and certain medications can lead to gastric ulcerations, they are not directly caused by chronic hypoxia. Chronic hypoxia mainly affects the cardiovascular and pulmonary systems.
D. Urinary tract infections: Chronic hypoxia does not typically lead to urinary tract infections. UTIs are more commonly associated with factors such as poor hygiene, urinary obstruction, or immunosuppression.
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Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Clients who have had gastric bypass surgery: Gastric bypass surgery can lead to decreased absorption of nutrients, including magnesium, making these clients at higher risk for hypomagnesemia.
B. Clients who have renal failure: Renal failure can impair the kidneys' ability to excrete magnesium, potentially leading to hypomagnesemia.
C. Clients receiving opioid pain medications: Opioids are not directly associated with hypomagnesemia. They may have other side effects but do not typically cause low magnesium levels.
D. Clients who are in the intensive care unit: ICU patients are at risk for various electrolyte imbalances, including hypomagnesemia, due to critical illness, medications, and other factors.
E. Clients undergoing hemodialysis: Hemodialysis can lead to loss of magnesium, making these patients more susceptible to hypomagnesemia.
Correct Answer is D
Explanation
A. Hypothermia: Pneumonia typically presents with fever rather than hypothermia. Fever is a common response to infection and inflammation.
B. Bradycardia: Pneumonia usually causes tachycardia rather than bradycardia. Tachycardia is a compensatory response to improve oxygen delivery to tissues.
C. Pulse deficit: A pulse deficit is not a common finding in pneumonia. It is more associated with conditions like atrial fibrillation.
D. Tachypnea: Tachypnea, or rapid breathing, is a common sign of pneumonia. It reflects the body’s attempt to improve oxygenation and compensate for impaired gas exchange.
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