You are examining a client with respiratory distress. Which physical assessment would best determine if the client has acute hypoxemia?
Inspect the nailbeds for the presence of clubbing.
Inspect the nailbeds and mucous membranes for the presence of cyanosis.
Palpate for areas of decreased tactile fremitus.
Auscultate for the presence of any adventitious breath sounds.
The Correct Answer is B
A. Clubbing is a sign of chronic hypoxia, not acute hypoxemia.
B. Cyanosis, a bluish discoloration of the skin and mucous membranes, is an indicator of acute hypoxemia.
C. Palpating for decreased tactile fremitus is related to fluid or air in the lungs, not specifically hypoxemia.
D. Auscultation for adventitious breath sounds can reveal respiratory issues but does not directly confirm hypoxemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
To calculate the volume of enoxaparin to administer, you would use the formula: Volume = Dose / Concentration. Here, the dose required is 30 mg, and the concentration available is 40 mg/mL. Plugging the values into the formula gives you: Volume = 30 mg / 40 mg/mL = 0.75 mL. Therefore, the nurse should administer 0.8 mL when rounded to the nearest tenth.
Correct Answer is B
Explanation
A. Clubbing is a sign of chronic hypoxia, not acute hypoxemia.
B. Cyanosis, a bluish discoloration of the skin and mucous membranes, is an indicator of acute hypoxemia.
C. Palpating for decreased tactile fremitus is related to fluid or air in the lungs, not specifically hypoxemia.
D. Auscultation for adventitious breath sounds can reveal respiratory issues but does not directly confirm hypoxemia.
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