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A nurse is caring for a client who has returned to the unit on a stretcher following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

Administer prescribed analgesic medication

Administer oxygen at 2 L/min.

Raise the head of the bed.

Encourage coughing and deep breathing

Answer and Explanation

The Correct Answer is C

A. Administering analgesics is not a priority in managing low oxygen saturation.

B. Administering oxygen is important but should follow positioning to improve oxygenation.

C. Raising the head of the bed improves lung expansion and is the priority intervention.

D. Coughing and deep breathing can follow after oxygenation is stabilized.

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Correct Answer is C

Explanation

A. A blood pressure of 120/84 mm Hg is within normal limits and does not require immediate intervention.

B. Hypoactive bowel sounds are a common side effect of sedation and not an immediate concern.

C. A respiratory rate of 9 breaths per minute indicates respiratory depression, which is a life-threatening side effect of Propofol. Immediate intervention is required to maintain oxygenation.

D. Urine output of 90 mL over 2 hours is adequate and does not indicate acute distress.

A. Use of multiple herbs and supplements B. History of lactose intolerance C. No previous experience with surgery D. Allergy to bee and wasp stings

Correct Answer is A

Explanation

A. Herbs and supplements can interact with anesthesia or affect coagulation, increasing perioperative risks.

B. Lactose intolerance is unlikely to impact surgery unless dietary considerations postoperatively involve lactose-containing foods.

C. A lack of prior surgical experience is relevant but not critical compared to medication or supplement interactions.

D. Bee/wasp allergies are important but less urgent unless directly related to medications or procedures used.

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A nurse is caring for a client who has returned to the unit on a stretcher following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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