Difficulty: Medium
Average Score: 77%
Simulated
The nurse recognizes that the client is manifesting early signs of hypoxia when the assessment data includes:
Correct answer
A
Rationale
The correct answer is A: Restlessness, confusion, tachycardia. Early signs of hypoxia include restlessness and confusion due to inadequate oxygen supply to the brain. Tachycardia is the body's compensatory response to hypoxia to increase oxygen delivery. Bradycardia (choice B & D) is not typical in hypoxia. Dyspnea and cyanosis (choice B) are more indicative of later stages of hypoxia. Hypotension and vomiting (choice C) are not specific to hypoxia. Lethargy and confusion (choice D) are contradictory symptoms.