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: Administration predicting overtime costs is not a recognized advantage of delegation.
Choice B rationale: Skills of the nursing team can be used more effectively, allowing tasks to be delegated to the appropriate individuals and promoting efficient care delivery.
Choice C rationale: Clients do not necessarily receive less attention due to delegation if it is done effectively.
Choice D rationale: Nurses reporting more pressure to perform necessary tasks themselves is not a recognized advantage of delegation.
Correct Answer is B
Explanation
Choice A rationale: Iron absorption is influenced by several factors, including the presence of food in the stomach. Food can interfere with iron absorption by forming
insoluble complexes with iron, reducing its bioavailability. Therefore, ferrous sulfate should be taken on an empty stomach, preferably one hour before or two hours after meals, to enhance its absorption and effectiveness.
Choice B rationale: Ferrous sulfate is not destroyed by acid in the stomach but instead acid enhances iron absorption by keeping it in a soluble form.
Choice C rationale: Constipation is a common side effect of iron supplementation, but this is not the primary reason for taking it on an empty stomach.
Choice D rationale: Ferrous sulfate can cause gastrointestinal bleeding in some cases, but this is not the primary reason for taking it on an empty stomach.
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