A nurse is assessing a client for hypoxemia during an asthma attack.
Which of the following manifestations should the nurse expect?
Agitation.
Dysphagia.
Nausea.
Hypotension.
The Correct Answer is A
Choice A rationale
Agitation is a common manifestation of hypoxemia due to insufficient oxygen reaching the brain and other vital organs.
Choice B rationale
Dysphagia, or difficulty swallowing, is not a typical manifestation of hypoxemia during an asthma attack.
Choice C rationale
Nausea can occur but is not a primary indicator of hypoxemia.
Choice D rationale
Hypotension may occur with severe hypoxemia but is not a direct manifestation of asthma-related hypoxemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Acetaminophen can be hepatotoxic in clients with liver damage, so it should be avoided. This is especially critical for clients with cirrhosis, where liver function is already compromised.
Choice B rationale
Eating three large meals can be overwhelming for someone with cirrhosis, as the liver is less able to process nutrients efficiently. Smaller, more frequent meals are advised.
Choice C rationale
Avoiding high-sodium foods is crucial because cirrhosis often leads to fluid retention and ascites, which can be exacerbated by a high-sodium diet.
Choice D rationale
Increasing activity as much as possible may not be safe for someone with cirrhosis, who often experiences fatigue and muscle wasting. Activity should be balanced with rest and tolerance levels.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Obtaining a wound culture is crucial to identify the causative organism and guide appropriate antibiotic therapy. Prompt identification and treatment of the infection source can prevent further systemic complications.
Choice B rationale:
Rapidly administering 30 mL/kg of normal saline helps to restore intravascular volume, improve hemodynamic stability, and enhance tissue perfusion. This intervention is vital in the initial management of sepsis to prevent organ dysfunction.
Choice D rationale:
Obtaining blood cultures before initiating antibiotic therapy is essential to identify the causative microorganism and tailor antibiotic treatment. This step ensures accurate diagnosis and effective management of sepsis.
Choice E rationale:
Administering broad-spectrum antibiotics as soon as possible is critical in managing sepsis. Early and appropriate antibiotic therapy significantly reduces mortality and morbidity by targeting the suspected pathogens promptly.
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