A nurse is caring for a client who has returned to the unit following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?
Administer oxygen at 2 U/min.
Raise the head of the bed.
Encourage coughing and deep breathing
Administer prescribed analgesic medication
The Correct Answer is B
A. Administer oxygen at 2 L/min: Administering oxygen is important but should be done after positioning the client to improve natural ventilation.
B. Raise the head of the bed: Raising the head of the bed is the first action to take as it facilitates better lung expansion and improves ventilation. This can help increase the oxygen saturation more immediately and effectively.
C. Encourage coughing and deep breathing: Encouraging coughing and deep breathing is also beneficial to help clear secretions and improve lung function, but positioning the client for optimal breathing should be prioritized first.
D. Administer prescribed analgesic medication. Administering analgesics may be necessary for pain management, but it does not directly address the immediate need to improve oxygen saturation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Has both older and younger siblings: This does not specifically relate to the "sandwich generation" concept.
B. Cares for children and aging parents at the same time: The term "sandwich generation" refers to individuals who are simultaneously caring for their own children and their aging parents.
C. There is a role reversal between parents and self: While this may occur in caregiving situations, it doesn't define the "sandwich generation."
D. Assists own parents and spouse's parents: This is similar to option B but specifically refers to assisting one's own parents and the spouse's parents, not necessarily at the same time.
Correct Answer is C
Explanation
A. Obesity: While obesity can be linked to a negative self-concept, it is not as closely associated with a "skeletal appearance" as anorexia nervosa.
B. Fad dieting: Fad dieting may indicate concerns about body image, but it does not typically lead to a skeletal appearance and may not necessarily be tied to a deeply negative self-concept.
C. Anorexia nervosa: Anorexia nervosa is characterized by extreme weight loss and a skeletal appearance. It is often associated with a severely negative self-concept and distorted body image, where individuals see themselves as overweight even when they are underweight.
D. Eating fast foods: While this can lead to poor nutritional habits and weight issues, it does not typically lead to a skeletal appearance and is not directly associated with a negative self-concept.
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.
