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 C
Explanation
Choice A rationale: The normal stimulus to breathe is an increased carbon dioxide level, which stimulates the respiratory center in the brain.
Choice B rationale: Increased oxygen levels do not serve as the primary stimulus for breathing. The respiratory center is primarily responsive to carbon dioxide levels.
Choice C rationale: Increased carbon dioxide level is the correct stimulus for normal breathing.
Choice D rationale: Decreased oxygen level is not the primary stimulus for normal breathing.
Correct Answer is D
Explanation
Choice A rationale: The Trendelenberg position is not typically used for dyspnea; it involves placing the body in a supine position with the lower half tilted downward. Choice B rationale: The side-lying position is not typically used for dyspnea.
Choice C rationale: The supine position may worsen dyspnea, especially in individuals with respiratory distress.
Choice D rationale: The semi-Fowler's position, with the head of the bed elevated, is often used to assist with breathing and improve oxygenation in clients with dyspnea.
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