Answer to Question 1
Answer: C
For clients in severe distress, family members may need to be consulted for critical information such as recent eating habits and history of vomiting. Measuring vital signs is an independent nursing action. Measuring intake and output is an independent nursing action. Identifying current oxygen saturation level is an independent nursing action.
Answer to Question 2
Answer: D
An oxygen level of less than 75 mmHg can be due to hypoventilation. This drop in oxygen will change the client's level of responsiveness. Although acid-base imbalances can alter communication, there is no direct link between a low oxygen level and changes in communication. Perfusion is affected by a reduction in circulating fluids. With a fluid and electrolyte imbalance, there is another disorder affecting acid-base balance. This might not be affected by oxygen level.
Respiratory system of a bird.
Client receiving hemodialysis.
Enhanced Caring
Diseases and Disorders of the Respiratory System
A hot stone placed under the client’s neck.
Sites of action of some respiratory inhibitors and artificial electron acceptors