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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Dry skin is not a sign of respiratory alkalosis. It can be caused by other conditions such as dehydration, eczema, or hypothyroidism.

Choice B reason: Abdominal pain is not a sign of respiratory alkalosis. It can be caused by other conditions such as gastritis, appendicitis, or gallstones.

Choice C reason: Diarrhea is not a sign of respiratory alkalosis. It can be caused by other conditions such as infection, inflammation, or food intolerance.

Choice D reason: Numbness of fingers is a sign of respiratory alkalosis, as it indicates a low level of calcium in the blood (hypocalcemia). Hypocalcemia can result from the alkalosis, as it causes the calcium to bind to proteins and become less available. Numbness of fingers can also affect the toes and lips.

A. Position the client supine. B. Cleanse the perineal area with an antiseptic. C. Deflate the balloon halfway and then pull out the catheter. D. Have the client bear down during removal.

Correct Answer is C

Explanation

Choice A reason: Positioning the client supine is not a necessary action for the nurse to take, as the client can be in any comfortable position for the catheter removal. The nurse should explain the procedure to the client and provide privacy.

Choice B reason: Cleansing the perineal area with an antiseptic is not a required action for the nurse to take, as the catheter is already sterile and the risk of infection is low. The nurse should wear gloves and use a clean syringe to deflate the balloon.

Choice C reason: Deflating the balloon halfway and then pulling out the catheter is the correct action for the nurse to take, as it ensures that the catheter is removed smoothly and without causing trauma to the urethra. The nurse should apply gentle traction and observe the urine color and amount in the drainage bag.

Choice D reason: Having the client bear down during removal is not a recommended action for the nurse to take, as it can cause discomfort and bleeding. The nurse should instruct the client to relax and breathe normally during the procedure.

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A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has respiratory alkalosis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is preparing to remove a client's urinary catheter. After performing hand hygiene, which of the following actions should the nurse take?

Correct Answer is C

Explanation

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