A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?
Muscle twitching
Facial flushing
Periorbital edema
Metallic taste in mouth
The Correct Answer is A
Choice A reason: Muscle twitching is a sign of central nervous system oxygen toxicity, which can occur when breathing high concentrations of oxygen under pressure. It can also cause seizures, confusion, and loss of consciousness.
Choice B reason: Facial flushing is not a symptom of oxygen toxicity. It can be caused by other conditions such as fever, allergic reactions, or alcohol consumption.
Choice C reason: Periorbital edema is not a symptom of oxygen toxicity. It can be caused by other conditions such as kidney disease, heart failure, or allergies.
Choice D reason: Metallic taste in mouth is not a symptom of oxygen toxicity. It can be caused by other conditions such as medication side effects, dental problems, or infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Spinach is a good source of potassium, but not the best. According to the USDA, one cup of cooked spinach contains 839 mg of potassium, which is about 18% of the recommended daily intake (RDI) for adults².
Choice B reason: Baked potato is the best source of potassium among the choices. According to the USDA, one medium baked potato with skin contains 941 mg of potassium, which is about 20% of the RDI for adults². Potassium is an essential mineral that helps regulate fluid balance, nerve and muscle function, and blood pressure.
Choice C reason: Banana is a popular source of potassium, but not the best. According to the USDA, one medium banana contains 422 mg of potassium, which is about 9% of the RDI for adults².
Choice D reason: Cheese is a poor source of potassium. According to the USDA, one ounce of cheddar cheese contains only 28 mg of potassium, which is less than 1% of the RDI for adults². Cheese is high in sodium, which can counteract the benefits of potassium and increase the risk of hypertension.
Correct Answer is A
Explanation
Choice A reason: This statement indicates a need for further teaching, as it is incorrect. The client does not need to catheterize the stoma, as the urine flows continuously from the ileal conduit to the pouch. Catheterization can cause infection and damage to the stoma.
Choice B reason: This statement is correct, as the client will need to measure the stoma each week for the first 6 to 8 weeks after surgery. The stoma may change in size and shape as it heals, and the client will need to adjust the size of the pouch opening accordingly.
Choice C reason: This statement is correct, as the client will always have to wear a pouch to collect the urine. The client can choose from different types of pouches, such as one-piece or two-piece systems, and change them as needed.
Choice D reason: This statement is correct, as the client will need to cleanse around the stoma with soap and water at least once a day. This helps to prevent skin irritation and infection. The client should avoid using alcohol, perfumes, or lotions on the stoma.
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