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

To maintain skin integrity and decrease the risk of infection, it is important to keep the skin clean and well lubricated1. Using a moisturizer on your skin after cleaning can help to maximize lipid barriers and prevent dryness2. It is also important to avoid hot water during bathing as it can increase dryness and cause cracked skin2.

A. Place the client in a room with negative pressure airﬂow. B. Clean hands with soap and water after caring for the client. C. Apply a mask on the client when they are outside their room. D. Wash hands for 10 seconds after caring for the client.

Correct Answer is B

Explanation

Clostridium difficile (C. difficile) is a highly contagious bacteria that can cause diarrhea and colitis 1. To prevent the spread of infection, it is important for the nurse to practice good hand hygiene by washing their hands with soap and water after caring for the client.

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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 teaching a client about maintaining skin integrity to decrease the risk of infection. Which of the following should the nurse include in the teaching?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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