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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","B","C"]

Explanation

Choice A rationale:

Tenderness, redness, and swelling at the incision site can indicate an infection or transplant rejection, both of which require immediate medical attention to prevent further complications.

Choice B rationale:

Swelling in the lower extremities (edema) can be a sign of fluid retention, which may indicate kidney dysfunction or transplant rejection, necessitating prompt evaluation and intervention.

Choice C rationale:

Elevated blood pressure (180/90 mm Hg) can be a sign of transplant rejection, as the body may be responding to the new organ as a foreign object, leading to increased blood pressure.

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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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?