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.

Encourage the client to take deep breaths.

Ask the client to cough every 4 hr.

Request a prescription for an opioid analgesic.

Answer and Explanation

The Correct Answer is B

An oxygen saturation of 88% is below the normal range of 95-100%, indicating that the client may be experiencing hypoxia. Encouraging the client to take deep breaths can help increase their oxygen saturation level.

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Correct Answer is A

Explanation

The client acquired the infection through indirect contact transmission by touching a contaminated towel. Indirect contact transmission occurs when a person comes into contact with an object or surface that has been contaminated with infectious agents.

A. Check the client’s heart rate for 30 seconds. B. Palpate the client’s pulse at the third intercostal space. C. Ask the client to perform the Valsalva maneuver. D. Auscultate the client’s apical pulse.

Correct Answer is D

Explanation

When caring for a client who has an irregular heart rate, the nurse should auscultate the client’s apical pulse to accurately assess their heart rate1. An electrocardiogram (ECG or EKG) may also be used to measure the timing and duration of each electrical phase in the heartbeat

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A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who acquired a Staphylococcus aureus infection from touching a contaminated towel. Through which of the following modes of transmission did the client acquire the infection?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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