Health Care > EXAM > NURS (FUNDAMENTAL): NCLEX Oxygenation and Perfusion (All)

NURS (FUNDAMENTAL): NCLEX Oxygenation and Perfusion

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NURS (FUNDAMENTAL): NCLEX Oxygenation and Perfusion A nurse caring for a patient with chronic obstructive pulmonary disease (COPD) knows that hypoxia may occur in patients with respiratory problems. ... What are signs of this serious condition? Select all answers that apply. a) Dyspnea b) Hypotension c) Small pulse pressure d) Decreased respiratory rate e) Pallor f) Increased pulse rate Correct Answer a, c, e, f If a problem exists in ventilation, respiration, or perfusion, hypoxia may occur. Hypoxia is a condition in which an inadequate amount of oxygen is available to cells. The most common symptoms of hypoxia are dyspnea (difficulty breathing), an elevated blood pressure with a small pulse pressure, increased respiratory and pulse rates, pallor, and cyanosis. A nurse is suctioning the nasopharyngeal airway of a patient to maintain a patent airway. For which condition would the nurse anticipate the need for a nasal trumpet? a) The patient vomits during suctioning. b) The secretions appear to be stomach contents. c) The catheter touches an unsterile surface. d) Epistaxis is noted with continued suctioning. Correct Answer d) Epistaxis is noted with continued suctioning. When epistaxis is noted with continued suctioning, the nurse should notify the physician and anticipate the need for a nasal trumpet. The nasal trumpet will protect the nasal mucosa from further trauma related to suctioning. A nurse is inserting an oropharyngeal airway for a patient who vomits when it is inserted. Which action would be the first that should be taken by the nurse related to this occurrence? a) Quickly position the patient on his or her side. b) Put on disposable gloves and remove the oral airway. c) Check that the airway is the appropriate size for the patient. d) Put on sterile gloves and suction the airway. Correct Answer a) Quickly position the patient on his or her side. [Show More]

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