A client with a diagnosis of vascular dementia is unable to communicate clearly because of his cognitive deficit. The client has developed influenza with extensive respiratory involvement
What sign of inadequate oxygenation should the nurse at the facility where the client resides assess for? A) Flushed skin
B) Uncharacteristic restlessness
C) Wincing, grimacing, or guarding
D) Decreased respiratory rate
B
Feedback:
Restlessness can be a sign of inadequate oxygenation. Pallor and increased respirations also accompany the problem, not flushed skin and decreased respiratory rate. Impaired oxygenation does not normally result in wincing, grimacing, or guarding.
You might also like to view...
A new graduate is considering working at a health-care institution that focuses on core values. It is important for the new graduate to:
A. Read the organization's mission and philosophy. B. Develop a new set of values that blend with the organization. C. Speak with other nurses who work in the institution. D. Both A and C.
A 22-year-old patient calls the clinic and tells the nurse that she has been depressed and is thinking about taking St. John's wort but wants to know if it is safe first
The nurse begins by questioning what other medications the patient takes and would be concerned about a drug-alternative drug interaction if the patient is also taking what type of medication? A) Antihistamines B) Analgesics C) Antibiotics D) Oral contraceptives
When administering medications to older adults, the nurse shows an understanding of the effect of aging on drug distribution by monitoring the patient's
a. cardiac function. b. liver function. c. red blood cell count. d. plasma albumin levels.
A group of students are reviewing information about oral diabetic agents. The students demonstrate understanding of these agents when they identify which agent as reducing glucose production from the liver?
What will be an ideal response?