A nurse is caring for a client who has anemia. Which of the following assessment findings should the nurse anticipate with the client's condition?

Bradycardia

Headache

Flushed skin color

Heat intolerance

Answer and Explanation

The Correct Answer is B

Choice A reason:

Bradycardia is incorrect. Bradycardia refers to a slow heart rate, and while anaemia can lead to an increased heart rate (tachycardia) as the body tries to compensate for the decreased oxygen levels, it is not typically associated with bradycardia.

Choice B reason:

Headache Anaemia is a condition characterized by a decreased number of red blood cells or a decrease in the amount of haemoglobin in the blood, leading to reduced oxygen-carrying capacity. This can result in decreased oxygen delivery to various tissues and organs, including the brain. As a result, clients with anaemia often experience symptoms such as fatigue, weakness, and headaches.

Choice C reason:

Flushed skin colour - Anaemia is more likely to cause paleness of the skin (pallor) due to the decreased haemoglobin levels, rather than flushed skin colour.

Choice D reason:

Heat intolerance - Heat intolerance is not a typical symptom of anaemia. It might be seen in conditions affecting the thyroid or related to hormonal imbalances, but it is not directly related to anaemia.

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Correct Answer is A

Explanation

Choice A reason:

Disequilibrium with movement is correct. The vestibulocochlear nerve (cranial nerve VIII) is responsible for both hearing (cochlear component) and balance (vestibular component). Impaired function of this nerve can result in problems with equilibrium and balance, leading to symptoms such as disequilibrium or vertigo (a sensation of spinning or whirling), especially with movement.

Choice B Reason:

Deviation of the tongue from midline is incorrect. This is related to cranial nerve XII (hypoglossal nerve) and its role in tongue movement and control.

Choice C Reason:

Loss of peripheral vision is incorrect. This is related to cranial nerve II (optic nerve) and its role in vision.

Choice D Reason:

Inability to smell is incorrect. This is related to cranial nerve I (olfactory nerve) and its role in the sense of smell.

A. To prevent alveolar collapse B. To provide positive airway pressure during inspiration C. To deliver a set tidal volume D. To control the rate of ventilations

Correct Answer is A

Explanation

Choice A Reason:

To prevent alveolar collapse is the correct answer. Positive end-expiratory pressure (PEEP) is used in mechanical ventilation to prevent alveolar collapse during expiration. Alveolar collapse, also known as atelectasis, can occur when the alveoli (air sacs in the lungs) collapse and don't fully re-inflate during the breathing cycle. This can lead to impaired gas exchange and decreased lung compliance. By applying positive pressure to the airways at the end of expiration, PEEP helps keep the alveoli open and improves oxygenation by maintaining lung volume.

Choice B Reason:

Positive airway pressure during inspiration is typically provided by the inspiratory pressure support, not by PEEP.

Choice C Reason:

Tidal volume refers to the amount of air moved into and out of the lungs with each breath. It is not the purpose of PEEP.

Choice D Reason:

Controlling the rate of ventilations is usually achieved by adjusting the ventilator settings for respiratory rate, not by using PEEP.

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A nurse is caring for a client who has anemia. Which of the following assessment findings should the nurse anticipate with the client's condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear nerve (cranial nerve VIII)?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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