What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.
Oxygen concentration of the ambient air.
Whether or not anyone witnessed the fall into the pool.
Temperature of water.
The amount of time the child was submerged.
Correct Answer : A,C,D
Rationale:
A. Oxygen concentration in the air affects the available oxygen for breathing during submersion.
B. While witnessing the fall is important for response time, it doesn’t directly affect the level of hypoxemia.
C. Water temperature impacts the body's response to submersion, affecting oxygen utilization.
D. The duration of submersion directly correlates with the level of hypoxemia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Ask about pain. This is not the most important action because pain is not the primary problem in this situation. Pain may or may not be present, but it does not address the underlying cause of cyanosis.
B. Provide mouth care. This is not the most important action because mouth care does not improve oxygenation. Mouth care may be helpful to prevent infection and promote comfort, but it is not a priority in this case.
C. Offer fluids. This is not the most important action because fluids do not increase oxygen levels in the blood. Fluids may be beneficial to prevent dehydration and maintain circulation, but they are not urgent in this scenario.
D. Administer oxygen. This is the most important action because oxygen is essential for cellular function and survival. Oxygen therapy can reverse hypoxia and improve the client's condition.
Correct Answer is D
Explanation
A. Ineffective pain management reported while using morphine PCA is concerning but may not be immediately life-threatening.
B. Inability to void after discontinuing an indwelling catheter should be addressed but might not require immediate attention.
C. Oral ice chips eaten after vomiting postoperatively might need monitoring, but it's not typically an urgent issue.
D. Coffee-ground secretions draining via nasogastric tube suction could indicate bleeding in the upper gastrointestinal tract, which requires immediate attention due to the potential for severe
bleeding.
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