Which finding would the PACU nurse evaluate as indicating the patient is progressing toward maintaining his own airway?
1. The patient snores while breathing.
2. The patient is "fighting" the oral airway.
3. The patient requires suctioning every 15 minutes.
4. The patient's oxygen saturation is below 90% on room air.
2
Rationale 1: Snoring is an indication of airway obstruction.
Rationale 2: As the patient becomes more alert and able to maintain an airway, he may "fight" the presence of an artificial airway.
Rationale 3: A patient who requires frequent suctioning is not clearing his own airway.
Rationale 4: One of the reasons a patient's oxygen saturation is low could be the inability to maintain an open airway.
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