Patient Data
Exhibits
The nurse places the client on a cardiorespiratory monitor and places the nasal cannula on the client. The nurse then completes an assessment and documents it in the chart.
For each body system, click to specify the assessment findings that indicates hypoxia. At least one finding could be indicated for each system.
|
Body System |
Assessment Finding |
|
Neurological |
Restless Awake and alert Anxious |
|
Respiratory |
Respiratory rate 28 breaths/minute Oxygen Saturation 90% on room air Productive cough |
|
Cardiovascular |
Heart rate 101 beats/minute Capillary refill 4 seconds Blood pressure 145/89 mm Hg |
Restless
Awake and alert
Anxious
Respiratory rate 28 breaths/minute
Oxygen Saturation 90% on room air
Productive cough
Heart rate 101 beats/minute
Capillary refill 4 seconds
Blood pressure 145/89 mm Hg
The Correct Answer is ["A","C","D","E","G"]
Neurological: Restlessness and anxiety can both be symptoms of hypoxia due to the brain's sensitivity to changes in oxygen levels.
Respiratory: Low oxygen saturation directly indicates hypoxia, and an increased respiratory rate can be a compensatory response to low oxygen levels.
Cardiovascular: Elevated heart rate can be a compensatory mechanism for hypoxia, and delayed capillary refill may indicate poor perfusion related to low oxygen levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
The mask should cover both the nose and mouth to ensure effective oxygen delivery and prevent air leaks.
The oxygen flowmeter should be adjusted to maintain the client’s oxygen saturation within the target range.
Placing gauze under the straps can help prevent skin irritation from prolonged use of the mask.
Continuous mask use is usually necessary for effective oxygen therapy. Breaks are generally not recommended unless instructed by a healthcare provider.
Face masks should be cleaned more frequently, typically after every shift or as needed, to maintain hygiene and prevent infection.
The mask should be placed over both the nose and mouth simultaneously to ensure proper fit and effective oxygen delivery.
Correct Answer is C
Explanation
A. Increased urination due to IV fluids is common and not immediately concerning.
B. Comfort with an elevated head of bed is typical postoperatively.
C. A tight dressing could indicate swelling or a potential complication such as hematoma, which can compromise the airway and requires immediate assessment.
D. Dizziness upon standing is common and not as urgent as potential airway compromise.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.