The nurse is evaluating the effectiveness of treatment for a patient experiencing transport shock due to carbon monoxide poisoning. Which of the following would validate that this patient is improving?
1. patient request for analgesic for headache
2. hemoglobin of 9 g/dl
3. orientation to person, but not time or place
4. oxygenation saturation of 92 percent
4
Rationale: The patient experiencing carbon monoxide poisoning will improve as oxygenation improves as a result of less hemoglobin binding from the carbon monoxide. An oxygenation saturation of 92 percent indicates adequate oxygenation to the tissues. Hemoglobin of 9 g/dL is below the normal range of 12 to 116 g/dL. Patients experiencing headache and confusion are still exhibiting clinical manifestations of this disorder.
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