It is suspected that the client's oxygenation status is ...

[jilianpiloj]

It is suspected that the client's oxygenation status is deteriorating. The nurse is aware that which abnormal assessment finding represents the most serious indication of the client's decreased ox-ygenation?
 
  a. Poor skin turgor
  b. Clubbing of the nails
  c. Central cyanosis
  d. Pursed-lip breathing

Question 2

When reviewing laboratory results, the nurse should immediately notify the health care provider about which finding?
 
  a. Glomerular filtration rate of 20 mL/min
  b. Urine output of 80 mL/hr
  c. pH of 6.4
  d. Protein level of 2 mg/100 mL

[bob]

Answer to Question 1

C
Central cyanosis is the most serious finding because it indicates hypoxemia.
Poor skin turgor indicates dehydration. It is not an indication of the client's decreased oxygena-tion.
Clubbing of the nails is found in clients with prolonged oxygen deficiency, endocarditis, and congenital heart defects. It is a change that occurs over time, and is not an indication of the cli-ent's current deterioration in oxygenation status.
Pursed-lip breathing is used to slow expiratory flow. It is not the most serious indication of a client's decreased oxygenation.

Answer to Question 2

A
Normal glomerular filtration rate should be around 125 mL/min; a severe decrease in renal perfusion could indicate a life-threatening problem such as shock or dehydration. Normal urine output is 1000 to 2000 mL/day; an output of 30 mL/hr or less for 2 or more hours would be cause for concern. The normal pH of urine is between 4.6 and 8.0 . Protein up to 8 mg/100 mL is acceptable; however, values in excess of this could indicate renal disease.

[jilianpiloj]

TYSM

[frankwu0507]

Gracias!