The client has been admitted with complaints of shortness of breath of 2 weeks duration and has received the nursing diagnosis Impaired Gas Exchange. Which admission laboratory result would support the choice of this diagnosis?

1. Increased hematocrit
2. Decreased BUN
3. Increased blood sugar
4. Increased sedimentation rate


Correct Answer: 1
Rationale 1: Hematocrit is the percentage of the blood that is erythrocytes, which contain the hemoglobin that carries oxygen. Long-term hypoxia may result in the body's attempt to increase oxygen-carrying capacity by increasing erythrocyte production.
Rationale 2: BUN is a measure of blood urea nitrogen, not oxygen-carrying capacity.
Rationale 3: The blood glucose level is not used to measure oxygenation.
Rationale 4: The sedimentation rate is not a direct measure of oxygenation.

Nursing

You might also like to view...

OASIS is an assessment instrument necessary to complete if the client

A. Requires home-makers assistance. B. Is a Medicare client. C. Is referred for services by a county hospital. D. Has a private insurance plan.

Nursing

A client in the emergency department has several broken ribs. What care measure will best promote comfort?

a. Allowing the client to choose the position in bed b. Humidifying the supplemental oxygen c. Offering frequent, small drinks of water d. Providing warmed blankets

Nursing

A patient takes temazepam [Restoril] for insomnia. The patient tells the nurse that a recent telephone bill lists several calls to friends that the patient does not remember making. What will the nurse do?

a. Ask the patient about any alcohol con-sumption in conjunction with the benzo-diazepine. b. Contact the prescriber to request an order for a benzodiazepine with a shorter dura-tion. c. Reassure the patient that this is most likely caused by a paradoxical reaction to the benzodiazepine. d. Tell the patient that this is an example of anterograde amnesia, which is an expected effect of the benzodiazepine.

Nursing

Testing of extraocular eye movements assesses

a. pupillary response to light. b. function of the three cranial nerves of the eye. c. the ability of the eyes to accommodate to a closer moving object. d. the oculocephalic reflex.

Nursing