Your 84-year-old client has an SaO2 of 96% on room air. What is your best action?
A. Document the finding as the only action.
B. Verify the measurement.
C. Notify the physician.
D. Apply oxygen.
A
The normal oxygen saturation based on pulse oximetry for adults breathing room air ranges be-tween 94% and 98%. This value may be a little lower for older adults.
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A patient has a reduced urine output. What situation will reduce glomerular filtration rate and hence urine output?
A) Increase in mean arterial pressure to 100 mm Hg B) Decrease in hydrostatic pressure in Bowman's capsule C) Decrease in plasma protein concentrations D) Condition resulting in afferent arteriole constriction
A nurse is administering prescribed tuberculosis (TB) drugs to a client whose infection is attributable to a drug-resistant strain of the disease. What other infectious disease has developed drug-resistant strains?
A) Typhoid B) Sinusitis C) Cancer D) Gonorrhea
The nurse is caring for a client who experiences heavy menstrual periods. What deficiency does the nurse expect this client to experience?
1. Iron 2. Calcium 3. Potassium 4. Vitamin K
A patient receiving 70 mL of tube feeding per hour has a residual amount of 120 mL. What action should the nurse take?
a. Slow the feeding to 35 mL/hr. b. Continue the feeding as ordered. c. Increase the feeding to 100 mL/hr. d. Hold the feeding, and notify the physician. ____