A nurse in the emergency department (ED) is caring for a client.
Laboratory Results
Complete the following sentence by using the list of options.
The nurse should first address the client
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Oxygenation:
The client's SaO₂ is 90% on 2 L/min via nasal cannula, which indicates impaired oxygenation. The client is experiencing rapid, labored breathing, suggesting respiratory distress. Cyanosis (bluish tint to extremities) and mottled skin indicate poor oxygen delivery to tissues. Addressing oxygenation first is critical to prevent worsening hypoxia and potential respiratory failure.
Blood Pressure:
The client has hypotension (74/50 mm Hg), likely due to malnutrition, dehydration, and inadequate caloric intake. Weak pulses, cold skin, and poor turgor suggest circulatory compromise that needs intervention. After stabilizing oxygenation, the nurse should address the low blood pressure to prevent shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Oxygenation:
The client's SaO₂ is 90% on 2 L/min via nasal cannula, which indicates impaired oxygenation. The client is experiencing rapid, labored breathing, suggesting respiratory distress. Cyanosis (bluish tint to extremities) and mottled skin indicate poor oxygen delivery to tissues. Addressing oxygenation first is critical to prevent worsening hypoxia and potential respiratory failure.
Blood Pressure:
The client has hypotension (74/50 mm Hg), likely due to malnutrition, dehydration, and inadequate caloric intake. Weak pulses, cold skin, and poor turgor suggest circulatory compromise that needs intervention. After stabilizing oxygenation, the nurse should address the low blood pressure to prevent shock.
Correct Answer is ["A","B","E"]
Explanation
Client has a BMI of 16 → A BMI of 16 indicates malnutrition, which weakens the immune system and impairs wound healing, making the client more prone to infections.
History of type 2 diabetes mellitus → Diabetes can impair white blood cell function and slow immune response, increasing infection risk.
Budesonide 6 mg PO daily → Budesonide is a corticosteroid, which suppresses the immune system and increases susceptibility to infections.
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