An unconscious patient who was transferred from surgery to the postanesthesia care unit (PACU) 15 minutes ago has an oxygen saturation of 89%. Which action should the nurse take first?
Increase the oxygen flowrate.
Elevate the patient's head on two pillows.
Suction the patient's mouth.
Perform the jaw-thrust maneuver.
The Correct Answer is A
A. The most appropriate first action would be to increase the oxygen flowrate to improve the patient's oxygen saturation levels. This intervention directly addresses the hypoxemia and can help prevent further complications related to low oxygen levels in the blood.
B. Elevating the patient's head can help improve ventilation and oxygenation. By raising the head, the patient's airway may become more patent, allowing for better airflow and oxygen exchange in the lungs. However, this should follow oxygenation.
C. Suctioning the patient's mouth aims to remove any secretions or obstructions that may be compromising the airway and contributing to the low oxygen saturation. However, this should follow oxygenation.
D. This maneuver can be helpful if the airway is obstructed by the tongue or soft tissues, potentially improving ventilation and oxygenation. However, this should follow oxygenation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Tachypnea is a classic early manifestation of fat embolism syndrome. Fat emboli can travel to the lungs and obstruct blood flow, leading to respiratory distress and hypoxemia. Tachypnea is the body's response to hypoxemia, as it attempts to increase oxygen intake by breathing more rapidly.
A. Swelling of the calf can occur with conditions such as deep vein thrombosis (DVT), but it is not typically an early manifestation of fat embolism syndrome.
B. tachycardia is more commonly seen due to the body's response to decreased oxygen levels and increased demand on the cardiovascular system.
C. Hypertension is not typically associated with fat embolism syndrome. Instead, hypotension can occur due to decreased cardiac output and systemic vasodilation in severe cases of fat embolism syndrome.
Correct Answer is ["A","B","C","E"]
Explanation
A. Administering medication at the right time helps maintain therapeutic drug levels in the patient's system and ensures optimal treatment outcomes.
B. This means administering the correct medication to the patient as prescribed by the healthcare provider. It's crucial to verify the medication name, strength, and dosage form to prevent medication errors and adverse drug reactions.
C. It's essential to double-check the dose calculation and verify it against the prescription to prevent medication errors, especially with high-risk medications.
E. This means administering the medication to the correct patient. It's essential to verify the patient's identity using at least two patient identifiers (such as name and date of birth) before administering any medication to ensure it is being given to the intended recipient.
D. The color of medication is not typically considered one of the medication rights. While certain medications may have specific color coding for identification purposes, relying solely on color to identify a medication can be misleading and increase the risk of errors.
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