Practice Question
A nurse is assessing a client who has chronic emphysema. The client is receiving oxygen at 2 Limin via nasal cannula and is resting with the head of bed elevated to a 4so angle. Which of the following findings should the nurse identify as an early indication of hypoxia?
Answer Choices:
Correct Answer:
Restlessness
Rationale:
🔶 Restlessness is an early neurological sign of hypoxia, caused by reduced oxygen delivery to brain tissue.
🔶 In clients with chronic emphysema, even minor drops in oxygenation can cause subtle behavioral changes like irritability, agitation, or anxiety.
🔶 Identifying restlessness early allows for timely interventions before hypoxia progresses to more severe symptoms.
🔶 As hypoxia worsens, signs such as cyanosis, confusion, and seizures may develop — but restlessness typically appears first.
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This question is from RN Adult Meedical Surgical 2023 which contains 85 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4
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