During the beginning shift assessment of a client with asthma who is receiving oxygen per nasal cannula at 2 liters per minute, the nurse would be most concerned about which unreported finding?

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Question 1 of 5

During the beginning shift assessment of a client with asthma who is receiving oxygen per nasal cannula at 2 liters per minute, the nurse would be most concerned about which unreported finding?

Correct Answer: A

Rationale: Pulse oximetry of 89% indicates hypoxemia, a critical concern in asthma requiring immediate attention.

Question 2 of 5

The nurse is caring for a 4 year-old child with a greenstick fracture. In explaining this type of fracture to the parents, the best statement by the nurse should be that,

Correct Answer: B

Rationale: Greenstick fractures are incomplete due to the flexibility and porosity of young bones.

Question 3 of 5

A client has been admitted for meningitis. In reviewing the laboratory analysis of cerebrospinal fluid (CSF), the nurse would expect to note

Correct Answer: A

Rationale: Bacterial meningitis increases CSF protein due to inflammation.

Question 4 of 5

The nurse is caring for a client with left ventricular heart failure. Which one of the following assessments is an early indication of inadequate oxygen transport?

Correct Answer: B

Rationale: Confusion and restlessness signal early cerebral hypoxia in heart failure.

Question 5 of 5

A client tells the nurse he is fearful of planned surgery because of evil thoughts about a family member. What is the best initial response by the nurse?

Correct Answer: D

Rationale: Listening validates the client's fear and opens communication.

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