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Which finding should the nurse expect when assessing a client who is cyanotic?

Bradypnea

Pale reddish color in the skin

Somnolence

Mottled blue color in skin

Answer and Explanation

The Correct Answer is D

A. Bradypnea (slow breathing) may occur in various conditions but is not a defining characteristic of cyanosis.

B. A pale reddish color in the skin is not consistent with cyanosis, which indicates a lack of oxygen in the blood.

C. Somnolence (drowsiness) may be present in some patients, but it is not a specific finding related to cyanosis.

D. Mottled blue color in the skin is a classic sign of cyanosis, indicating inadequate oxygenation of the blood, especially in the extremities or areas with poor circulation.

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Correct Answer is A

Explanation

A. Vitamin D deficiency is a modifiable risk factor because it can be addressed through dietary changes, supplements, and increased sun exposure.

B. A small-boned, thin frame is considered a nonmodifiable risk factor as it is a genetic characteristic that cannot be changed.

C. A personal history of fractures is also a nonmodifiable risk factor, as past fractures indicate an increased risk for future fractures and cannot be altered.

D. Age is a nonmodifiable risk factor, as it is an intrinsic characteristic that cannot be changed

A. ventricular tachycardia B. asystole C. normal sinus rhythm D. ventricular fibrillation

Correct Answer is A

Explanation

A. Ventricular tachycardia: Ventricular tachycardia (VT) is identified by a regular, fast rhythm with wide QRS complexes, typically without visible P waves. This rhythm often appears as consecutive, large, uniform waves, which is consistent with what is seen in the diagram.

B. Asystole: Asystole is characterized by a flat line, indicating no electrical activity, which is not present in this strip.

C. Normal sinus rhythm: Normal sinus rhythm would show identifiable P waves, a normal QRS complex, and a regular rate, which are not observed here.

D. Ventricular fibrillation: Ventricular fibrillation appears as chaotic, irregular waveforms with no clear QRS complexes or organization, which does not match the rhythm shown.

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Which finding should the nurse expect when assessing a client who is cyanotic?

Nursing Test Bank

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