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 ["2.5"]
Explanation
Step 1: Identify the dosage required: 20 mg
Step 2: Identify the available dosage: 40 mg/5 mL
Step 3: Set up the proportion to find the required volume:
(20 mg) / (40 mg) = (x mL) / (5 mL)
Step 4: Cross-multiply and solve for x:
20 mg \* 5 mL = 40 mg \* x mL
100 mg \* mL = 40 mg \* x mL
Step 5: Divide both sides by 40 mg:
(100 mg \* mL) / 40 mg = (40 mg \* x mL) / 40 mg
2.5 mL = x mL
The nurse should administer 2.5 mL per dose.
Correct Answer is A
No explanation
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.