A client with atelectasis is requiring supplemental oxygen as indicated by pulse oximetry. Oxygen should be administered to maintain an oxygen saturation of which percentage?
a. 75% or greater c. 95% or greater
b. 85% or greater d. 100%r
C
Arterial blood gases and pulse oximetry are utilized to evaluate the need for supplemental oxygen. Oxygen is administered to maintain an oxygen saturation of 95% or greater.
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A nurse who is caring for patient with a tracheostomy tube in place has just auscultated rhonchi bilaterally. If the patient is unsuccessful in coughing up secretions, what action should the nurse take?
a. Encourage increased incentive spirometer use. b. Encourage the patient to increase oral fluid intake. c. Put on sterile gloves and use a sterile catheter to suction. d. Preoxygenate the patient for 3 minutes before suctioning.
A trauma survivor is requesting sleep medication because of "bad dreams." Concerned about posttraumatic stress disorder, the nurse asks
a. "Are you reliving your trauma?" b. "Are you having chest pain?" c. "Can you describe your phobias?" d. "Can you tell me when you wake up?"
The nurse anticipates that when an infant hears a loud sudden noise, the infant will respond by:
a. Bursting into a short period of crying b. Rapidly blinking c. Performing the Moro reflex d. Extending the legs
The nurse is caring for a client whose family does not want to tell him that he is dying. What is the nurse's best action according to these wishes?
1. Arrange an encounter with the client and tell him the truth. 2. Change the subject when the client asks about his impending death. 3. Tell the family that the patient has the right to know that he is dying. 4. Talk to the family about the situation and their concerns.