A nurse, a licensed practical nurse (LPN), and a nursing assistant are caring for a group of clients. The nurse asks the nursing assistant to check the pulse oximetry level of a client who underwent laminectomy. The nursing assistant reports that the pulse oximetry reading is 89%. The client Kardex contains an order for oxygen application at 2 L/min should the pulse oximetry level fall below 92%. The nurse is currently assessing a postoperative client who just returned from the postanesthesia unit. How should the nurse proceed?
a. immediately go the client's room and assess vital signs, administer oxygen at 2 L/minute, and notify the physician.
b. ask the nursing assistant to notify the physician of the low pulse oximetry level
c. ask the LPN to obtain vital signs and administer oxygen at 2 L/min to the client who underwent laminectomy
d. complete the assessment of the new client before attending to the client who underwent laminectomy
Answer: c. ask the LPN to obtain vital signs and administer oxygen at 2 L/min to the client who underwent laminectomy
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