The multiple causes for hypoxia include: (Select all that apply.)

aspirated vomit

pulmonary fibrosis

hiccoughs

high altitude

Answer and Explanation

Correct Answer : A,B,D

A. Aspirated vomit: Can obstruct the airway or cause aspiration pneumonia, reducing oxygenation.
B. Pulmonary fibrosis: Scarring of lung tissue impairs gas exchange, leading to hypoxia.
C. Hiccoughs: Not associated with hypoxia; they are an involuntary diaphragmatic spasm.
D. High altitude: Decreased atmospheric oxygen levels can result in hypoxia.

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Correct Answer is A

Explanation

A. Assist the client to Fowler's position: This position helps maximize lung expansion, making it easier for the client to breathe.
B. Promote removal of pulmonary secretions: Important but secondary to addressing immediate respiratory distress.
C. Increase the oxygen flow: This should only be done per provider order to avoid complications such as oxygen toxicity.
D. Obtain a specimen for arterial blood gases: This is a diagnostic step but not an immediate intervention for difficulty breathing.

A. Continue to monitor the client. B. Clamp the chest tube near the water seal. C. Reposition the client and recheck the chamber. D. Add water to the chamber.

Correct Answer is A

Explanation

A. Continue to monitor the client: A rise in the water seal with inspiration and fall during expiration (tidaling) is normal in a functioning chest tube system and indicates proper lung expansion.
B. Clamp the chest tube near the water seal: Clamping the tube can cause tension pneumothorax and is not appropriate unless specifically instructed by a provider.
C. Reposition the client and recheck the chamber: Repositioning is unnecessary unless there are signs of obstruction or complications.
D. Add water to the chamber: Water addition is only required if the water level falls below the recommended amount, not in response to normal tidaling.

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The multiple causes for hypoxia include: (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority?

Correct Answer is A

Explanation

A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal with client inspiration?

Correct Answer is A

Explanation

A patient has collapsed and cannot be aroused by asking loudly, "Are you okay?" The next action should be to:

The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:

The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:

What is the most common cause of airway obstruction in the unconscious person?

Older adults are more prone to respiratory problems because aging causes which change?

A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?