NCLEX RN Practice Question # 650

NCLEX Examination.

Practice Question # 650.


Assessing for respiratory distress:

You should assess for signs of respiratory distress as part of your postoperative assessment. Contact the doctor if your findings include the following signs.

The blues

Cyanosis is a major indicator of respiratory distress. Circumoral, nail bed, or sublingual cyanosis indicates an arterial oxygen saturation level of less than 90%. Earlobe cyanosis, usually accompanying chronic obstructive pulmonary disease, may be exacerbated by anesthesia.

Other signs

Also, assess for other signs of respiratory distress, including:

• nasal flaring

• inspiratory or expiratory grunts

• changes in posture to ease breathing

• progressive disorientation.

A little help from your friends

You may use a pulse oximeter to supplement your assessment. Report a saturation level of 90% or less.

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