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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.

Answer and Explanation

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.

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Correct Answer is ["A","C","F","G","H"]

Explanation

Choice A rationale:

The Glasgow Coma Scale score has decreased from 14 to 12, indicating a decline in the client's level of consciousness. This finding requires immediate attention as it may signify worsening neurological status or an underlying condition such as metabolic disturbances, hypoxia, or intracranial pathology.

Choice C rationale:

The bicarbonate level is 13 mEq/L, which is significantly lower than the normal range of 21-28 mEq/L. This indicates metabolic acidosis, a condition where the blood is too acidic. It requires immediate intervention to prevent severe complications such as shock or organ failure.

Choice F rationale:

The client's blood pressure readings show hypotension with a supine blood pressure of 100/70 mm Hg and sitting blood pressure of 85/50 mm Hg. This suggests hemodynamic instability, which could be due to dehydration, sepsis, or other critical conditions requiring urgent treatment.

Choice G rationale:

The ECG findings indicate tachycardia with a prolonged PR interval, widened QRS complex, and peaked T waves. These are signs of hyperkalemia, a potentially life-threatening condition requiring immediate attention to prevent cardiac arrest.

Choice H rationale:

The sodium level is 152 mEq/L, which is higher than the normal range of 136-145 mEq/L, indicating hypernatremia. This electrolyte imbalance can lead to severe neurological symptoms and requires prompt correction to prevent complications such as seizures or coma.

A. Offer high-protein and high-carbohydrate foods frequently. B. Encourage oral intake of at least 3,000 mL of fluids per day. C. Administer low-flow oxygen continuously via nasal cannula. D. Place in a prone position.

Correct Answer is D

Explanation

Choice A rationale

High-protein and high-carbohydrate foods are beneficial, but they do not directly address the immediate respiratory issues in ARDS.

Choice B rationale

Encouraging oral intake of fluids may not be appropriate as it can contribute to fluid overload and worsen pulmonary edema in ARDS patients.

Choice C rationale

Administering low-flow oxygen might be necessary but isn't the most crucial intervention for ARDS. High-flow oxygen or mechanical ventilation is typically required.

Choice D rationale

Placing the client in a prone position has been shown to improve oxygenation in ARDS by enhancing lung expansion and ventilation-perfusion matching.

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A nurse is assessing a client for hypoxemia during an asthma attack.Which of the following manifestations should the nurse expect?

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A nurse is assessing a client for hypoxemia during an asthma attack.
Which of the following manifestations should the nurse expect?