After surgery, a client is extubated in the Confusion
postanesthesia care unit. Which clinical manifestations
should the nurse expect if the client is experiencing Hypocapnia
acute respiratory distress? Select all that apply.
1 Tachycardia
Confusion
2 Inadequate cerebral oxygenation produces restlessness and confusion.
Hypocapnia Tachycardia occurs as the body attempts to compensate for the lack of
3 oxygen. A low carbon dioxide level in the blood (hypocapnia) occurs with
Tachycardia an increase in respiratory rate. The pupils dilate, not constrict, with hypoxia.
4 An elevated respiratory rate (tachypnea), not a slow respiratory rate
Constricted pupils (bradypnea), occurs.
5
Slow respiratory rate
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After surgery, a client reports sudden severe chest Pink
pain and begins coughing. The nurse suspects the
client has a thromboembolism. What characteristic of With a pulmonary embolus, there is partial or complete occlusion of
the sputum supports the nurse's suspicion that the pulmonary blood flow; when infarcted areas or areas of atelectasis produce
client has a pulmonary embolus? alveolar damage, red blood cells move into the alveoli, resulting in
1 hemoptysis. Clear sputum is associated with a viral infection. Green and
Pink yellow sputum are associated with a bacterial infection.
2
Clear
3
Green
4
Yellow
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A client has a compound fracture of the femur. The Pinpoint red spots on the chest.
nurse should assess the client for the typical signs and
symptoms of a fat embolus. In comparison to Fat emboli cause capillary fragility; rupture of capillary walls results in
thromboembolism, which unique clinical indicator can pinpoint red spots (petechiae) on the chest and conjunctiva of the eye.
help the nurse identify a fat embolus? Anxiety occurs in both fat embolism and thromboembolism. There often is a
1 feeling of dread or impending doom. Restlessness and confusion from
Anxiety cerebral hypoxia occur in both fat embolism and thromboembolism. The
2 arterial oxygen may be decreased in both fat embolism and
Restlessness thromboembolism.
3
Pinpoint red spots on the chest
4
Decreased arterial oxygen level
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