The nurse is aware the early indicator of hypoxia in the unconscious client is:

Cyanosis

Restlessness

Increased respirations

Hypertension

Answer and Explanation

The Correct Answer is B

A.   Cyanosis is a late sign of hypoxia, occurring when oxygen saturation is significantly low. It's often visible in the mucous membranes and skin.
B.   Restlessness is often one of the earliest signs of hypoxia. As oxygen levels decrease, the brain becomes deprived of oxygen, leading to changes in mental status, including restlessness, confusion, and agitation.
C.   Increased respirations (tachypnea) can be a sign of hypoxia, but it's often a later response as the body attempts to compensate for decreased oxygen levels.
D.   Hypertension is not a typical sign of hypoxia. In fact, severe hypoxia can lead to hypotension as blood pressure decreases.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. This level indicates average blood glucose over the past 2-3 months and is higher than the target range (usually under 7% for many patients with diabetes). While this result suggests the need for adjustments in management, it is not an immediate emergency.
B. A random plasma glucose level of 205 mg/dL indicates hyperglycemia, but it is not typically considered an immediate danger unless accompanied by symptoms of hyperglycemia. This level would warrant further monitoring and possibly an adjustment in treatment, but it doesn't require urgent intervention.
C. A blood glucose level of 45 mg/dL indicates hypoglycemia, which is a critical condition that requires immediate action. Hypoglycemia can lead to symptoms such as confusion, seizures, or loss of consciousness, and it must be addressed quickly, usually with fast-acting carbohydrates.
D. While a fasting blood glucose level of 300 mg/dL indicates significant hyperglycemia, it does not require immediate action like hypoglycemia does. This level indicates a need for further management but is not acutely dangerous compared to a severely low blood glucose level.

A. Alert the child's parents. B. Apply cool, wet compresses. C. Contact medical help by notifying the child's health care provider D. Wash the area thoroughly with soap and water.

Correct Answer is D

Explanation

A. While it may be important to inform the parents later, this is not the immediate priority. The first step should be to assess and manage the current situation before involving the parents.
B. This is a reasonable action to help soothe the itching and irritation caused by contact dermatitis. However, before applying compresses, it’s crucial to ensure that the area is clean and that there is no potential for worsening the condition.
C. This may be necessary if the reaction is severe or worsening, but in this case, the student is exhibiting signs consistent with contact dermatitis, which can often be managed effectively at school without immediate medical intervention.
D. Washing the affected area with soap and water helps remove any potential irritants or allergens that may be causing the dermatitis. This action can help prevent the condition from worsening and relieve some of the symptoms.

View Question and Answer

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

The nurse is aware the early indicator of hypoxia in the unconscious client is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which test results require the most immediate action by the nurse?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

The nurse is assessing a patient prior to surgery for esophageal cancer. Which of the following would be considered a risk factor for the development of this disease?

The nurse is caring for an elderly female with osteoporosis. When teaching the client, the nurse should include information about which major complication?

A patient has a respiratory rate of 36 breaths per minute. How would the nurse describe this respiratory pattern?

A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

What findings on assessment would indicate to the nurse that a client has developed osteomyelitis 10 weeks after a right shoulder arthroplasty? (Select All that Apply.)

The nurse should implement which interventions for a child with type 1 diabetes who has a blood glucose level of 50 mg/dL? (Select All that Apply)

A nurse is admitting a client who has suspected retinal detachment. Which of the following questions should the nurse include when gathering a client history? (Select All that Apply.)