a nurse is assessing a client for hypoxemia during an asthma attack which of the following manifestations should the nurse expect a nurse is assessing a client for hypoxemia during an asthma attack which of the following manifestations should the nurse expect
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Nursing Elites

ATI RN

ATI RN Adult Medical Surgical Online Practice 2023 A

1. During an asthma attack, a healthcare provider is assessing a client for hypoxemia. Which of the following manifestations should the provider expect?

Correct answer: C: Agitation

Rationale: During an asthma attack, hypoxemia can lead to inadequate oxygen supply to the brain, causing symptoms like restlessness, confusion, and agitation. These manifestations result from the body's response to low oxygen levels, aiming to increase oxygenation. Nausea, dysphagia, and hypotension are not typical manifestations of hypoxemia during an asthma attack.

2. Professor Immel believes that behaviors that are predominant in certain species probably serve some adaptive function. Professor Immel's beliefs are most consistent with which perspective?

Correct answer: D

Rationale: Professor Immel's belief that behaviors in certain species serve an adaptive function aligns with the evolutionary perspective. The evolutionary perspective posits that behaviors have developed over time because they provide an advantage for survival and reproduction. This perspective emphasizes the role of natural selection in shaping behaviors based on their adaptive value. Choices A, B, and C do not specifically address the idea that behaviors have evolved to serve specific functions for survival, making them inconsistent with Professor Immel's beliefs.

3. A client with gastroesophageal reflux disease (GERD) is being taught about lifestyle changes to manage the condition. Which of the following instructions should the nurse include?

Correct answer: B

Rationale: The correct answer is B: 'Sleep with the head of your bed elevated.' Elevating the head of the bed helps reduce acid reflux by keeping the head higher than the stomach, preventing stomach acid from flowing back into the esophagus. Choices A, C, and D are incorrect. Avoiding eating small, frequent meals, lying down after eating, and drinking fluids with meals can exacerbate GERD symptoms by increasing stomach acid production and promoting acid reflux.

4. A client is taking atorvastatin for hyperlipidemia. Which of the following findings should the nurse report to the provider immediately?

Correct answer: C

Rationale: Muscle pain should be reported immediately as it can indicate rhabdomyolysis, a severe adverse effect of atorvastatin. Rhabdomyolysis is characterized by muscle pain, weakness, and can lead to serious complications such as kidney damage, making it crucial for the nurse to notify the provider promptly. Headache, nausea, and diarrhea are common side effects of atorvastatin and do not require immediate reporting unless severe or persistent.

5. A 45-year-old client is admitted with new-onset status epilepticus. What is the priority nursing intervention?

Correct answer: C

Rationale: The correct answer is C. In a client with new-onset status epilepticus, the priority nursing intervention is to ensure a patent airway and prepare for possible intubation. This is crucial to prevent hypoxia and further complications. Administering IV fluids and monitoring electrolytes (choice A) can be important but ensuring airway patency takes precedence. Administering antiepileptic medications (choice B) is essential but only after securing the airway. Monitoring for hypotension (choice D) is also important but not the priority when managing status epilepticus.

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