The nursing staff is admitting a client diagnosed with diabetic ketoacidosis (DKA). The LPN asks the RN if the pulse oximeter needs to be placed on the client. What is the nurse's best response to the LPN?
1. "Please place the pulse oximeter on the client."
2. "I will let you know after I complete my assessment."
3. "Thanks, but that is something I have to do for the client."
4. "We don't have an order to do that."
2
Rationale 1: Clients in DKA may not require a pulse oximeter as it does not provide information about acid-base balance or blood glucose levels. It reflects only the percentage of oxygen saturation of hemoglobin.
Rationale 2: The nurse should complete the assessment to determine any respiratory abnormalities before using the pulse oximeter.
Rationale 3: If the RN determines the pulse oximeter is needed, the RN could delegate the task to the LPN.
Rationale 4: This would not require a healthcare provider's order.
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