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 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

A. Apply corn-starch to the client’s skin. B. Allow the client’s skin to air-dry after cleaning. C. Clean the client’s skin with a pH-balanced cleanser. D. Use hot water to clean the client’s skin.

Correct Answer is C

Explanation

Urinary incontinence can lead to skin irritation and breakdown if the skin is not properly cleaned 1. Using a pH-balanced cleanser can help maintain the skin’s natural acidity and prevent irritation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an irregular heart rate. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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