A nurse is assessing a client for early signs of hypoxemia during an asthma attack. Which manifestation should the nurse expect?
Hypotension
Nausea
Dysphagia
Confusion
The Correct Answer is D
A: Hypotension is not an early sign of hypoxemia. It can occur in severe cases but is not typically an initial indicator.
B: Nausea is not a common sign of hypoxemia. It may occur due to other factors but is not directly related to low oxygen levels.
C: Dysphagia, or difficulty swallowing, is not a sign of hypoxemia. It is related to swallowing disorders rather than oxygen levels.
D: Confusion is an early sign of hypoxemia. Low oxygen levels can affect brain function, leading to confusion and other cognitive changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Obtaining a chest x-ray is important for diagnosing potential complications but is not the immediate first action to improve oxygen saturation.
B: Raising the head of the bed helps improve lung expansion and oxygenation. It is a quick and effective first step to increase oxygen saturation.
C: Administering a prescribed analgesic can help with pain management but does not directly address the low oxygen saturation.
D: Administering oxygen at 2 L/min is important but should follow the initial step of raising the head of the bed to optimize breathing.
Correct Answer is C
Explanation
A: Discreetly hiding the medication in the patient’s favorite gelatin is unethical and violates the patient’s right to informed consent. This approach undermines trust and can lead to further resistance or legal issues.
B: Agreeing with the patient’s decision and documenting it in the chart is important, but it should not be the first action. The nurse needs to understand the patient’s reasons for refusal before making any decisions or documentation.
C: Exploring with the patient the reasons for not wanting to take the medication is the appropriate first action. This approach allows the nurse to understand the patient’s concerns, address any misconceptions, and provide relevant information. It also respects the patient’s autonomy and promotes a collaborative approach to care.
D: Educating the patient about the importance of the medication is crucial, but it should follow the exploration of the patient’s reasons for refusal. Understanding the patient’s perspective first ensures that the education provided is relevant and addresses specific concerns.
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