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Which finding should the nurse expect when assessing a client who is cyanotic?

A.

Bradypnea

B.

Pale reddish color in the skin

C.

Somnolence

D.

Mottled blue color in skin

Answer and Explanation

The Correct Answer is D

A. Bradypnea (slow breathing) may occur in various conditions but is not a defining characteristic of cyanosis.  

 

B. A pale reddish color in the skin is not consistent with cyanosis, which indicates a lack of oxygen in the blood.  

 

C. Somnolence (drowsiness) may be present in some patients, but it is not a specific finding related to cyanosis.  

 

D. Mottled blue color in the skin is a classic sign of cyanosis, indicating inadequate oxygenation of the blood, especially in the extremities or areas with poor circulation.


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View Related questions

Correct Answer is D

Explanation

A. Flexion refers to bending the joint, which does not apply when turning the palm down.

B. Supination is the movement of turning the palm up, which is the opposite of what is being tested here.

C. Rotation refers to the circular movement around a central point, but it does not specifically describe the action of turning the palm down.

D. Pronation is the movement of turning the palm down, which is exactly what the client is doing when asked to perform this maneuver.

Correct Answer is B

Explanation

A. Pigeon chest (pectus carinatum) is a structural deformity of the chest and is not associated with COPD.

B. A barrel chest is commonly seen in clients with COPD due to hyperinflation of the lungs, causing the chest to appear rounded and expanded.

C. Kyphotic refers to an abnormal curvature of the spine (kyphosis) and is not a characteristic of COPD.

D. Funnel chest (pectus excavatum) is another structural deformity and is not typically associated with COPD.

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