A nurse is collecting data on a client who was recently started on 3L of oxygen and now has oxygen toxicity. Which of the following findings should the nurse expect?
Metallic taste in mouth
Facial flushing
Periorbital edema
Muscle twitching
The Correct Answer is D
A. Metallic taste in mouth:
This is not a typical sign of oxygen toxicity. A metallic taste may be associated with certain medications or exposure to metals.
B. Facial flushing:
Not a characteristic symptom of oxygen toxicity. Facial flushing is more commonly linked to fever or certain medication reactions.
C. Periorbital edema:
Swelling around the eyes may suggest fluid overload or renal issues, not oxygen toxicity.
D. Muscle twitching:
Oxygen toxicity can affect the central nervous system, leading to signs such as muscle twitching, seizures, and vision changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Asking the client to rate the pain and assess the site for decreased swelling:
This combines both subjective (pain rating) and objective (swelling) indicators of whether the treatment is working.
B. Having the client perform range-of-motion exercises of the arm:
This does not directly assess the effectiveness of cold therapy and may aggravate a fresh injury.
C. Inspecting the site for increased swelling:
This may indicate ineffective treatment, not effectiveness.
D. Monitoring the client’s pulse rate:
Pulse rate is not a reliable measure for evaluating local pain or swelling.
Correct Answer is B
Explanation
A. Bradycardia:
Hypervolemia often causes tachycardia as the heart compensates for increased fluid, not bradycardia.
B. Crackles in lungs:
Excess fluid can accumulate in the lungs, causing pulmonary congestion and crackles on auscultation.
C. Oliguria:
Hypervolemia usually leads to increased urine output, unless kidney function is impaired.
D. Hypotension:
Hypervolemia generally causes hypertension due to the increased volume in the circulatory system.
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