Author Question: It is important to observe for cyanosis as a sign of hypoxemia. Which of the following choices ... (Read 29 times)

asmith134 · **on:** Jul 22, 2018

It is important to observe for cyanosis as a sign of hypoxemia. Which of the following choices provides the most useful description of this condition? Cyanosis is:

1. produced by low oxygen levels in the blood.
2. often seen as circumoral bluish discoloration of the skin.
3. directly related to the amount of hemoglobin in the blood, in the presence of oxygen deficit.
4. generally associated with other signs of oxygen deficit.

Question 2

The nurse is planning care for the 90-year-old client with tuberculosis who lives alone in an apartment and is being treated at home. The priority nursing diagnosis for this client is which of the following?

1. Risk for Injury
2. Anxiety
3. Ineffective Therapeutic Regimen Management
4. Ineffective Breathing Pattern

anoriega3 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: 3

Answer to Question 2

3. Ineffective Therapeutic Regimen Management

Rationale:
The treatment regimen for tuberculosis requires that the client take many medications, maintain nutrition, and be aware of potential side effects. Due to increased age and normal forgetfulness, this client is at risk for ineffective treatment in the home. The client is at risk for injury because of age, not TB. The client may have anxiety but the priority is the treatment regimen. Since the client is being treated in the home, there is not much risk for ineffective breathing.