A nurse is assessing a client who has hypoxemia for a late sign. Which finding should the nurse expect?

Hypertension

Tachycardia

Pallor

Bradypnea

Answer and Explanation

The Correct Answer is C

A: Hypertension is not typically a late sign of hypoxemia. It can occur in various conditions but is not specific to hypoxemia.

B: Tachycardia is an early sign of hypoxemia as the body attempts to compensate for low oxygen levels by increasing the heart rate.

C: Pallor is a late sign of hypoxemia. It indicates poor oxygenation and perfusion, often seen when the body can no longer compensate for the lack of oxygen.

D: Bradypnea, or slow breathing, is not a typical sign of hypoxemia. Hypoxemia usually causes an increase in respiratory rate (tachypnea) as the body tries to take in more oxygen.

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Correct Answer is D

Explanation

A: The statement “Benefit may outweigh the risk” is more applicable to Pregnancy Risk Category D or X drugs, where there is evidence of risk but potential benefits may justify use in certain situations.

B: Studies showing fetal risk are associated with Pregnancy Risk Category D or X drugs. Category A drugs have not shown fetal risk in controlled studies.

C: Drugs that are contraindicated in pregnant women fall under Pregnancy Risk Category X, where the risks clearly outweigh any potential benefits.

D: Fetal harm is unlikely for Pregnancy Risk Category A drugs. These drugs have been tested in controlled studies and have not shown any risk to the fetus, making them safe for use during pregnancy.

A. Discreetly hide the medication in the patient’s favorite gelatin. B. Agree with the patient’s decision and document it in the chart. C. Explore with the patient reasons for not wanting to take the medication. D. Educate the patient about the importance of the medication.

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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A nurse is assessing a client who has hypoxemia for a late sign. Which finding should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering medication to a pregnant patient. After looking up the medication, the nurse determines the medication is categorized as a Pregnancy Risk Category A. What is true of Pregnancy Risk Category A drugs?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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