During assessment, the nurse would expect which part of the body to indicate central cyanosis in a client with a severe asthma attack?

Nail Beds

Sclera

Oral Mucosa

Palms

Answer and Explanation

The Correct Answer is C

A. Nail Beds:

While peripheral cyanosis can cause bluish discoloration of the nail beds, central cyanosis is more indicative of systemic hypoxemia and is best assessed in areas with rich blood supply, such as the oral mucosa.

B. Sclera:

The sclera is more commonly used to assess for jaundice (yellowing) rather than cyanosis. Cyanosis is not typically visible in the sclera.

C. Oral Mucosa:

Central cyanosis is most accurately assessed in areas with high vascularization, such as the oral mucosa. This area provides a clear indication of oxygenation status and can reveal hypoxemia more reliably than peripheral sites.

D. Palms:

Similar to the nail beds, the palms can show signs of peripheral cyanosis but are not the primary site for assessing central cyanosis. The oral mucosa remains the best site for this assessment.

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Correct Answer is C

Explanation

The Body Mass Index (BMI) is calculated using the formula:

BMI = weight(kg) / height(m)2

First, we need to convert the height from feet and inches to meters.

There are approximately 0.3048 meters in a foot and 0.0254 meters in an inch.

So, 5 feet 5 inches is approximately 1.65 meters.

Substituting the given values into the formula:

BMI = 60 / (1.65)2

This gives us a BMI of approximately 22 when rounded to the nearest whole number.

Therefore, the correct answer is 22 BMI.

A. Exophthalmos B. Palpitations C. Diaphoresis D. Weight gain

Correct Answer is D

Explanation

Exophthalmos:

Exophthalmos, or protruding eyeballs, is typically associated with hyperthyroidism (Graves' disease) rather than hypothyroidism. It results from the accumulation of fluid and swelling behind the eyeballs.

(b) Palpitations:

Palpitations, or rapid heartbeat, are more commonly associated with hyperthyroidism due to the increased metabolic rate and sympathetic nervous system stimulation. In hypothyroidism, bradycardia (slow heart rate) is more likely.

Diaphoresis, or excessive sweating, is not a typical finding in hypothyroidism. It is more commonly associated with conditions that cause autonomic dysfunction or hypermetabolic states.

(d) Weight gain:

Weight gain is a hallmark symptom of hypothyroidism. It occurs due to a slowing down of the metabolic rate, leading to reduced calorie expenditure and potential fluid retention.

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During assessment, the nurse would expect which part of the body to indicate central cyanosis in a client with a severe asthma attack?

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Naxlex Comprehensive Predictor Exams

A nurse assesses a 60kg adult client who is 5 feet 5 inches tall. What is the estimated body mass index (BMI) for this client? Round to the whole number.

Correct Answer is C

Explanation

A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?

Correct Answer is D

Explanation

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