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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. Linea nigra is not typically found in older adults.

B. Infants and children do not generally exhibit linea nigra.

C. Adolescents do not commonly have linea nigra.

D. Linea nigra is a dark line that appears on the abdomen of pregnant women due to hormonal changes and increased pigmentation.

Correct Answer is B

Explanation

A. A pulse oximeter is used to measure oxygen saturation and is not relevant to cochlear dysfunction.

B. A hearing aid is appropriate for someone with cochlear dysfunction as it can help amplify sound and improve hearing, indicating the client is adapting to the hearing loss.

C. Eyeglasses are used for vision problems and do not relate to the function of the cochlear division of the vestibulocochlear nerve.

D. A bath thermometer is used to measure water temperature and is not relevant to auditory issues.

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