A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?
Decrease the head of the client's bed.
Ask the client to cough every 4 hr.
Encourage the client to take deep breaths.
Request a prescription for an opioid analgesic.
The Correct Answer is C
The correct answer is choice c. Encourage the client to take deep breaths.
Choice A rationale:
Decreasing the head of the client’s bed can worsen oxygenation by compressing the lungs and reducing lung expansion, which is not advisable for a client with low oxygen saturation.
Choice B rationale:
Asking the client to cough every 4 hours can help clear secretions but does not directly address the immediate need to improve oxygen saturation.
Choice C rationale:
Encouraging the client to take deep breaths helps increase lung expansion and improve oxygenation, which is crucial for a client with an oxygen saturation of 88%.
Choice D rationale:
Requesting a prescription for an opioid analgesic is not appropriate in this context as opioids can depress respiratory function, potentially worsening the client’s oxygen saturation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is: D. Nonmaleficence.
Choice A rationale: Kindness is a positive trait and desirable in patient care, but it is not the ethical principle that addresses harm prevention.
Choice B rationale: Good manners refer to courteous behavior, not specifically to preventing harm.
Choice C rationale: Common courtesy involves polite behavior, which, while important, is not the ethical principle related to avoiding harm.
Choice D rationale: Nonmaleficence is the ethical principle that emphasizes not causing harm to others while providing care and striving for the best outcomes.
Correct Answer is B
No explanation
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