While reading a physician's progress notes a student notes that an assigned client is having hypoxia. What abnormal assessments would the student expect to find?

Diarrhea, flatulence, decreased turgor

Dyspnea, tachycardia, cyanosis

Hypotension, edema, erythema

Chest pain, dry skin, petechiae

Answer and Explanation

The Correct Answer is B

A.   Diarrhea, flatulence, and decreased turgor are not typically associated with hypoxia.
B.   Hypoxia manifests with dyspnea (difficulty breathing), tachycardia (increased heart rate), and cyanosis (bluish discoloration of the skin).
C. Hypotension, edema, and erythema are not primary signs of hypoxia.
D.   Chest pain, dry skin, and petechiae are not specific to hypoxia.

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Correct Answer is C

Explanation

A. Palpating the abdomen may provide additional information but is not the next step in this situation.
B. Documenting the finding as normal volume is not appropriate; a bladder volume of more than 600mL is considered significant.
C. Performing In & Out catheterization is the next step to relieve urinary retention.
D. Rechecking the bladder scan in 6 hours is not appropriate when immediate intervention is needed.

A. Loss of bladder tone. B. Loss of nephrons. C. Reduced blood supply. D. Loss of kidney tissue.

Correct Answer is A

Explanation

A. Loss of bladder tone is an expected age-related change that can lead to increased frequency of urination.
B. Loss of nephrons is related to kidney function and may not directly contribute to nocturia.
C. Reduced blood supply may affect various organs but is not a typical cause of increased nighttime voiding.
D. Loss of kidney tissue may impact kidney function but is not a primary cause of nocturia.

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While reading a physician's progress notes a student notes that an assigned client is having hypoxia. What abnormal assessments would the student expect to find?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client had his foley catheter removed eight hours ago and is unable to void. The nurse performs a bladder scan to check bladder volume. The bladder scan demonstrates more than 600mL of urine in the bladder. What should the nurse do next?

Correct Answer is C

Explanation

An older woman who is a resident of a long-term care facility has to get up and void several times during the night. Which of the following is an expected age-related change that can contribute to this occurrence?

Correct Answer is A

Explanation

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