The nurse is aware the early indicator of hypoxia in the unconscious client is:

Cyanosis

Restlessness

Increased respirations

Hypertension

Answer and Explanation

The Correct Answer is B

A.   Cyanosis is a late sign of hypoxia, occurring when oxygen saturation is significantly low. It's often visible in the mucous membranes and skin.
B.   Restlessness is often one of the earliest signs of hypoxia. As oxygen levels decrease, the brain becomes deprived of oxygen, leading to changes in mental status, including restlessness, confusion, and agitation.
C.   Increased respirations (tachypnea) can be a sign of hypoxia, but it's often a later response as the body attempts to compensate for decreased oxygen levels.
D.   Hypertension is not a typical sign of hypoxia. In fact, severe hypoxia can lead to hypotension as blood pressure decreases.

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Correct Answer is B

Explanation

A. Older adults, particularly those with Type 2 diabetes, are at increased risk for HHS due to factors such as decreased renal function, polypharmacy, and potential for dehydration. This patient's age and diabetes type make them susceptible, but we need to compare them with other options.
B. COPD can lead to respiratory problems that may further complicate diabetes management. Additionally, older adults with chronic diseases often experience increased stress on their bodies, which can exacerbate hyperglycemia. The combination of age, diabetes, and a chronic respiratory condition increases the risk.
C. While individuals with Type 1 diabetes can experience HHS, it is less common compared to those with Type 2 diabetes. This is primarily because people with Type 1 diabetes are more prone to ketoacidosis rather than HHS, especially if they are managing their insulin properly. Therefore, this individual is at a lower risk for HHS.
D. This patient has Type 2 diabetes but lacks the additional risk factors (like older age or chronic illness) that would significantly elevate their risk for HHS compared to the other options. While they could develop HHS, they are not at the highest risk.

A. ACE inhibitors B. Aldosterone receptor antagonists C. Beta-adrenergic blocking agents D. Thiazide diuretics

Correct Answer is C

Explanation

A. ACE inhibitors can cause a dry cough in some patients, but this is not typically a severe issue for patients with asthma.
B. These medications do not have a significant impact on respiratory function and are generally safe for patients with asthma.
C. Beta-blockers can constrict the airways, making them less suitable for patients with asthma. They can worsen asthma symptoms, trigger bronchospasm, and reduce the effectiveness of beta-agonist bronchodilators.
D. Thiazide diuretics do not have a significant impact on respiratory function and are generally safe for patients with asthma.

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The nurse is aware the early indicator of hypoxia in the unconscious client is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following clients is at greatest risk for hyperglycemic hyperosmolar syndrome (HHS)?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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