A nurse is collecting data on a client who has a heart rate of 56/min.
Which of the following findings should the nurse expect?
History of cigarette smoking.
Temperature of 39°C (102.2°F).
Report of dizziness.
Hypoglycemia.
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
No explanation
Correct Answer is C
Explanation
The correct answer is choice c. Encourage the client to take deep breaths.
Choice A rationale:
Decreasing the head of the client’s bed can worsen oxygenation by compressing the lungs and reducing lung expansion, which is not advisable for a client with low oxygen saturation.
Choice B rationale:
Asking the client to cough every 4 hours can help clear secretions but does not directly address the immediate need to improve oxygen saturation.
Choice C rationale:
Encouraging the client to take deep breaths helps increase lung expansion and improve oxygenation, which is crucial for a client with an oxygen saturation of 88%.
Choice D rationale:
Requesting a prescription for an opioid analgesic is not appropriate in this context as opioids can depress respiratory function, potentially worsening the client’s oxygen saturation.
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