The nurse recognizes that the client is manifesting early signs of hypoxia when the assessment data includes:
restlessness, confusion, tachycardia.
bradycardia, dyspnea, cyanosis.
hypotension, vomiting, cyanosis.
bradycardia, lethargy, confusion.
The Correct Answer is A
Choice A rationale: Restlessness, confusion, and tachycardia are early signs of hypoxia, indicating inadequate oxygenation.
Choice B rationale: Bradycardia, dyspnea, and cyanosis are more indicative of advanced hypoxia.
Choice C rationale: Hypotension, vomiting, and cyanosis may suggest severe hypoxia or other medical issues but are not typically early signs.
Choice D rationale: Bradycardia, lethargy, and confusion are not typical early signs of hypoxia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Carbohydrates are important for energy but do not specifically promote wound healing.
Choice B rationale: Vitamin C is crucial for collagen synthesis and wound healing, so an increased intake is beneficial.
Choice C rationale: Calcium is important for bone health but does not have a direct role in promoting wound healing.
Choice D rationale: Vitamin E has antioxidant properties but is not the primary nutrient emphasized for wound healing.
Correct Answer is C
Explanation
Choice A rationale: Skin irritation is a possible side effect of nitroglycerin patches, but it is not the primary reason for removing the patch in this situation.
Choice B rationale: Interactions with other medications are not the primary concern when transitioning from a patch to an intravenous infusion.
Choice C rationale: The removal of the nitroglycerin patch is necessary to avoid drug overdose when starting an intravenous infusion.
Choice D rationale: The loss of the patch is not the primary concern; rather, it is the potential for an overdose.
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