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    HESI RN Exit VI Proctored ExamQuestion 111
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    HESI RN Exit VI Proctored Exam
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    Patient Data Exhibits The nurse places the client on a cardiorespiratory monitor and places the nasal cannula on the client. The nurse then completes an assessment and documents it in the chart. For each body system, click to specify the assessment findings that indicates hypoxia. At least one finding could be indicated for each system. Body System Assessment Finding Neurological Restless Awake and alert Anxious Respiratory Respiratory rate 28 breaths/minute Oxygen Saturation 90% on room air Productive cough Cardiovascular Heart rate 101 beats/minute Capillary refill 4 seconds Blood pressure 145/89 mm Hg

    Explanation & Rationale

    Neurological: Restlessness and anxiety can both be symptoms of hypoxia due to the brain's sensitivity to changes in oxygen levels. Respiratory: Low oxygen saturation directly indicates hypoxia, and an increased respiratory rate can be a compensatory response to low oxygen levels. Cardiovascular: Elevated heart rate can be a compensatory mechanism for hypoxia, and delayed capillary refill may indicate poor perfusion related to low oxygen levels.

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