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

Dehydration can cause hypotension, so increasing ﬂuid intake can help to restore ﬂuid levels and improve blood pressure1. Mild dehydration can be treated with ﬂuids and electrolytes, while moderate-to-severe dehydration may require treatment with intravenous ﬂuids and electrolytes2.

A. Dry hands with a reusable towel B. Rub hand sanitizer around rings on fingers C. Rub hands together for 20 seconds D. Use hot water to rinse hand sanitizer oﬀ

Correct Answer is C

Explanation

When using an alcohol-based hand sanitizer, the nurse should apply the product to the palm of one hand and rub hands together, covering all surfaces of hands and fingers until hands are dry.

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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 planning care for a client who has dehydration and hypotension. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is preparing to perform hand hygiene with an alcohol-based hand sanitizer. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

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