A patient with pneumonia is receiving supplemental oxygen. Which assessment finding(s) by the nurse should be reported as an early indication of hypoxia?
a. Cyanosis around the lips and oral mucosa
b. Anxiety and restlessness
c. Decrease in the level of consciousness
d. Decreased blood pressure and respiratory rate
B
Anxiety, confusion, and restlessness are early signs of hypoxia. Cyanosis around the lips and mouth is a sign of hypoxia, but it is a late sign. Decreased level of consciousness, decreased respiratory rate, and decreased blood pressure are also late signs of hypoxia. The respiratory rate will increase as the body attempts to compensate for the decreased level of oxygen. As hypoxia worsens, the respiratory rate may decline. During early stages of hypoxia, blood pressure is elevated unless the condition is caused by shock.
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A Southern, nominally Pentecostal, African American pediatric client is being assessed during admission. He has braided, black, kinky hair, and he celebrates Kwanzaa
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The client is to receive Synthroid (levothyroxine sodium) 0.175 mg every day. The available medication is 175 mcg tablets. How many tablets should the client receive?
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A client states, "I am leaving. No one here knows what they are doing." The nurse completing the Against Medical Advice form must:
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