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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale: Propranolol 10 mg PO twice a day would typically be given with a more extended interval between doses, not at 10:00 AM, 2:00 PM, and 6:00 PM.
Choice B rationale: Diazepam 5 mg PO three times a day would align with the specified dosing schedule of 10:00 AM, 2:00 PM, and 6:00 PM.
Choice C rationale: Cephalexin 500 mg PO q4 hours would require more frequent dosing than the specified schedule.
Choice D rationale: Morphine Sulfate 10 mg IM q4 hours prn pain is ordered every 4 hours, not at the specified times of 10:00 AM, 2:00 PM, and 6:00 PM.

A. Promotion of oxygenation by enhancing air circulation around wound B. Removal of nonviable tissue followed by a moist wound dressing C. Use of barrier cream and a foam dressing D. No treatment is necessary

Correct Answer is B

Explanation

Choice A rationale: Promotion of oxygenation by enhancing air circulation around the wound is not the primary treatment for a "yellow" wound.

Choice B rationale: Removal of nonviable tissue followed by a moist wound dressing is the expected treatment for a wound with yellow color, indicating the presence of slough (nonviable tissue).

Choice C rationale: Use of barrier cream and a foam dressing may be indicated for other types of wounds but may not address the specific issue of nonviable tissue in a "yellow" wound.

Choice D rationale: No treatment is necessary is not appropriate for a wound with evidence of nonviable tissue.

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The nurse recognizes that the client is manifesting early signs of hypoxia when the assessment data includes:

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Naxlex Comprehensive Predictor Exams

The nurse is transcribing a medication order and schedules dosing for 10:00 AM, 2:00 PM and 6:00 PM. Which medication order is consistent with this schedule?

Correct Answer is B

Explanation

On admission to the hospital, the nurse notes that the client has a sacral wound that is "yellow" in color. What wound treatment would the nurse expect the health care provider to order?

Correct Answer is B

Explanation

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