A nurse is assessing a patient and notes that the patient is experiencing hypoxia.
Which of the following patient signs would indicate that the patient has hypoxia? Select all that apply.
increased respiratory rate
confusion
cyanosis
restlessness
dyspnea
Bradychardia
Hypertension
Nausea and vomiting
Correct Answer : A,B,C,D,E
The correct answer is choices A, B, C, D, and E.
Hypoxia occurs when there is inadequate oxygen supply to the body's tissues. Signs of hypoxia can vary depending on the severity of the condition. The following signs can indicate hypoxia:
- Increased respiratory rate - Hypoxia can cause an increased respiratory rate as the body tries to increase oxygen levels in the blood.
- Confusion - Hypoxia can affect cognitive function, leading to confusion.
- Cyanosis - Hypoxia can cause a blue or purple discoloration of the skin, lips, or nail beds due to the lack of oxygen.
- Restlessness - Hypoxia can cause restlessness or agitation.
- Dyspnea - Hypoxia can cause difficulty breathing, also known as dyspnea.
-
Bradycardia - Bradycardia, or a slow heart rate, is not typically a direct sign of hypoxia. Hypoxia often leads to tachycardia (increased heart rate) as the body tries to compensate for low oxygen levels.
-
Hypotension - While severe hypoxia can eventually lead to changes in blood pressure, hypotension (low blood pressure) is not a primary sign of hypoxia. Typically, hypoxia might cause hypertension or have no immediate impact on blood pressure.
-
Nausea and Vomiting - While nausea and vomiting can be related to various conditions, they are not specific signs of hypoxia. These symptoms might occur due to other issues or as a secondary effect in some cases, but they are not primary indicators of hypoxia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 2+ Pitting Edema:This refers to moderate pitting edema where the indentation is approximately 4 mm and disappears within 10-15 seconds.
B. 3+ Pitting Edema:This refers to moderately severe pitting edema where the indentation is approximately 6 mm and may last longer than 1 minute but does not remain for as long as 4 minutes.
C. 1+ Non-Pitting Edema:This grade refers to mild pitting edema with a 2 mm indentation that quickly disappears within a few seconds.
D. 4+ Pitting Edema:4+ pitting edema is characterized by a very deep pit (approximately 8 mm) that may last 2-5 minutes or more. This matches the scenario where the pit is 8 mm deep and remains for 4 minutes.
Correct Answer is ["725"]
Explanation
Intake = IV fluid + antibiotic
From 0700-0900 (2 hours), the patient received 100 mL/hr of IV fluid: 100 mL/hr x 2 hours = 200 mL
From 1000-1030 (0.5 hours), the patient received Kefzol 1 g in 25 mL of D5W over 30 minutes:
25 mL
From 1030-1530 (5 hours), the patient received 100 mL/hr of IV fluid: 100 mL/hr x 5 hours = 500 mL
Total intake from 0700-1530 = 200 mL + 25 mL + 500 mL = 725 mL. Therefore, the patient's intake from 0700 to 1530 was 725 mL.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.