NCLEX-RN

Category - Reduction of Risk

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A nurse is caring for a client scheduled for a hyperbaric treatment. The most common complication of this treatment that would need the nurse’s immediate attention is:

Muscle twitching
Substernal chest pain
Cough
Nearsightedness

Explanation

Answer: A - Muscle twitching after hyperbaric treatment indicates CNS toxicity. The development of this symptom requires immediate attention. Other manifestations include nausea and seizures. Substernal chest pain and cough are early symptoms of oxygen toxicity and spontaneously resolve within two to three days after termination of treatment. Nearsightedness occurs after 40 or more hyperbaric treatments. This complication is generally reversible after cessation of treatment.

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