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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 ["A","B"]

Explanation

A. Bronchovesicular sounds are normal lung sounds that are typically heard over the mainstem bronchi and are expected during auscultation.

B. Bronchial sounds are also normal and are typically heard over the trachea; they are expected lung sounds.

C. Dullness is not a lung sound but rather a descriptor of percussion notes, typically indicating fluid or solid mass in the lungs.

D. Flatness is also not a normal lung sound but refers to a percussion note that can suggest the presence of fluid or a solid mass.

Correct Answer is C

Explanation

A. Cranial nerves III, IV, and VIII are not involved in mouth functions; they primarily deal with eye movements and hearing.


B. Cranial nerves III, II, and VI are involved in vision and eye movement but not in mouth functions.


C. Cranial nerves IX (glossopharyngeal), X (vagus), and XII (hypoglossal) are all tested through functions such as swallowing, speech, and movement of the tongue, which occur in the mouth.


D. Option D incorrectly lists cranial nerve I twice; cranial nerve I (olfactory) is related to the sense of smell, not the mouth.

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