The nurse is assessing a patient for hypoxia and observes a bluish discoloration in the following areas. Which areas indicate hypoxia? (Select all that apply.)

a. Oral mucosa
b. Conjunctiva of the eye
c. Around the lips
d. On the nail beds


A, B, C
Cyanosis caused by hypoxia is observed in the oral mucosa, in the conjunctiva of the eye, and around the lips, known as circumoral cyanosis. Nail bed cyanosis may be caused by peripheral vascular disease or cold temperatures.

Nursing

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The recommended daily dosage of Gantrisin is 120 to 150 mg/kg/day in divided doses q6h. The safe dosage range for a child who weighs 44 lb is _______________

a. 2.4 to 3 g/day b. 600 to 750 mg/day c. 4 to 5 g/day d. 5,280 to 6,600 mg/day

Nursing

The patient is returning to the unit with a wet long leg cast. To prevent damage to the wet cast, the nurse should: (Select all that apply.)

a. determine the cast material. b. prop the casted limb on a footboard to elevate it until the cast is dry. c. support the cast with the palms of the hands rather than holding it with the fin-gers. d. assess heat generated from the drying cast. e. explain that the cast has dried when it ac-quires a grayish color.

Nursing

Mr. Abog is still on your unit a day later for treatment of his hypertension. You notice that Mr. Abog is very agreeable by indicating "yes" to most of what you have said to him, yet he remains very nonverbal

From a cultural perspective, you recognize that although Mr. Abog is agreeable to most of what you say, this may be: A. A part of his Filipino culture and that "yes" may not indicate understanding agreement or understanding. B. A way of his telling you that he is extremely tired and needs rest. C. A way of remaining secret about his true intentions. D. A way of telling you that he cannot hear plainly.

Nursing

The daily level of intake for essential nutrients that is considered to be adequate to meet the nutritional needs of healthy individuals is the ________.

What will be an ideal response?

Nursing