A nurse is caring for a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was eﬀective?

Heart rate 110/min

Restlessness

Pink mucous membranes

Respiratory rate 28/min

Answer and Explanation

The Correct Answer is C

Supplemental oxygen is administered to increase the amount of oxygen in the body and improve tissue oxygenation. The goal of this intervention is to improve the client's condition and reduce symptoms of hypoxia.

Options a, b, and d are all indicative of ongoing hypoxia and are not desirable outcomes. An increase in heart rate and respiratory rate and restlessness can be a sign that the client is still struggling to breathe and not getting enough oxygen.

Option c, pink mucous membranes, is indicative of improved tissue oxygenation. The mucous membranes, such as those in the mouth and nose, should be a healthy pink color when oxygen levels are adequate. Therefore, the nurse should identify pink mucous membranes as an indication that the intervention was eﬀective in improving the client's hypoxia.

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Correct Answer is A

Explanation

A heart rate of 56/min is considered bradycardia, which is defined as a heart rate slower than 60 beats per minute 1. Bradycardia can prevent the brain and other organs from getting enough oxygen, possibly causing symptoms such as dizziness or light-headedness.

A. Opens the first ﬂap of the sterile package towards the nurse’s body. B. Prepares the sterile field 2 hours before it is needed. C. Inspects the sterile package for holes before opening. D. Places the sterile field against a wall in the client’s room.

Correct Answer is C

Explanation

When setting up a sterile field, it is important to inspect the sterile package for holes before opening it to ensure that the contents are still sterile1. The first ﬂap of the package should be opened away from the body

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A nurse is caring for a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was eﬀective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a heart rate of 56/min. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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