Which statement(s) is/are true regarding the nursing assessment of a patient with a respiratory disorder? (Select all that apply.)
a. Central cyanosis typically is observed on the fingers and earlobes.
b. Clubbing of the fingernails is a sign of hypoxia.
c. As oxygen levels diminish, mental alertness will progressively deteriorate.
d. The normal respiratory rate in an adult is 10 breaths/min.
e. Episodes of apnea are present in Cheyne-Stokes.
ANS: B, C, E
Fingernail clubbing is a sign of hypoxia. Mental status will deteriorate as the oxygen level in the body diminishes. Apnea is present in Cheyne-Stokes respirations. Central cyanosis is not observed on the fingers and earlobes. The normal respiratory rate in an adult is more than 10 breaths/min.
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