A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?
Bradypnea
Cyanosis
Pallor
Bradycardia
The Correct Answer is B
A. Bradypnea, or abnormally slow breathing, is not typically associated with hypoxia. Hypoxia usually triggers an increase in respiratory rate (tachypnea) as the body attempts to take in more oxygen to meet its needs.
B. Cyanosis, a bluish discoloration of the skin and mucous membranes, is a key sign of hypoxia. It occurs when there is insufficient oxygen in the blood, leading to a darker color of deoxygenated hemoglobin. Cyanosis is most commonly observed in the lips, fingertips, and toes.
C. Pallor, or paleness of the skin, can occur in various conditions but is not specific to hypoxia. It is more commonly associated with anemia or shock rather than low oxygen levels in the blood.
D. Bradycardia, or a slower-than-normal heart rate, is not typically a manifestation of hypoxia. Instead, hypoxia often causes tachycardia as the body attempts to increase oxygen delivery to tissues by pumping blood more quickly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Avoid vitamin supplements during therapy: This is not generally advised for isoniazid therapy. In fact, vitamin B6 supplements are often recommended to prevent peripheral neuropathy caused by isoniazid.
B. Drink alcohol in small amounts only: Alcohol can increase the risk of liver toxicity when taking isoniazid. It is typically advised to avoid alcohol altogether during treatment.
C. Report yellow eyes or skin immediately: Isoniazid can cause liver toxicity, which can lead to jaundice (yellowing of the eyes and skin). This is a serious side effect and should be reported immediately to prevent further liver damage.
D. Increase intake of Swiss or aged cheeses: This recommendation is not related to isoniazid therapy. Aged cheeses are more relevant to patients on monoamine oxidase inhibitors (MAOIs) due to tyramine content.
Correct Answer is B
Explanation
A. Repeating the same question over and over: This behavior might indicate confusion or lack of understanding but is not a typical anticipated outcome of education. Effective education should lead to better understanding rather than repeated questions.
B. Awareness of COPD manifestations: An anticipated outcome of education for a client with COPD is increased awareness of their condition and its manifestations. This knowledge helps the client manage their symptoms and recognize exacerbations early.
C. Anxiety and restlessness: While some anxiety might be present, effective education aims to reduce anxiety by providing information and strategies for managing COPD. The goal is to increase confidence and knowledge, which can help mitigate anxiety.
D. Motivation and engagement of the client: While motivation and engagement are positive outcomes, they are not the primary focus of initial educational interventions. The primary goal is to ensure that the client is aware of their condition and understands how to manage it effectively.
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