What assessment is best for distinguishing between hypoxemia and hypercapnia?
Measuring arterial blood gases
Observing for signs and symptoms
Measuring oxygen saturations
Performing pulmonary function testing
The Correct Answer is A
A. Arterial blood gas (ABG) analysis is the most accurate method for distinguishing between hypoxemia (low oxygen levels in the blood) and hypercapnia (elevated carbon dioxide levels). ABG testing measures both the partial pressure of oxygen (PaO2) and carbon dioxide (PaCO2), providing a clear distinction between the two conditions.
B. While observing for signs and symptoms is useful, it is not specific enough to distinguish between hypoxemia and hypercapnia, as both conditions may present with similar symptoms like shortness of breath or confusion.
C. Measuring oxygen saturation with a pulse oximeter can detect hypoxemia but does not provide information about carbon dioxide levels, so it cannot distinguish between hypoxemia and hypercapnia.
D. Pulmonary function testing assesses lung volumes and airflow but does not directly measure oxygen or carbon dioxide levels, making it less effective for distinguishing between hypoxemia and hypercapnia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Meconium ileus is a common early sign of cystic fibrosis in newborns. It occurs when the meconium, which is the first stool of a newborn, becomes thick and sticky, leading to a blockage in the intestines. This is often one of the first signs of cystic fibrosis in infants.
B. Cyanosis, while indicative of oxygenation problems, is not a specific sign of cystic fibrosis in newborns. It may be seen in many respiratory or cardiac conditions.
C. Yellow, seedy, loose stools are more commonly associated with normal newborn digestion or conditions like lactose intolerance or gastrointestinal infections, not specifically cystic fibrosis.
D. Coughing is a symptom of cystic fibrosis, but it typically develops later as the disease progresses and affects the lungs, rather than being an early sign in newborns.
Correct Answer is B
Explanation
A. Overactive bladder refers to the condition where there is a sudden and uncontrollable urge to urinate, often associated with urgency and frequency, but it is not caused by exertional stimuli.
B. Stress incontinence is the type of urinary incontinence that occurs when physical activity or exertion, such as coughing, sneezing, laughing, or lifting, increases abdominal pressure and leads to involuntary leakage of urine.
C. Functional incontinence refers to the inability to reach the bathroom in time due to physical or cognitive impairments, such as mobility issues or dementia, rather than exertional triggers.
D. Urge incontinence is the sudden and intense urge to urinate, often leading to involuntary loss of urine. It is not typically caused by exertion but by an overactive bladder.
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