The nurse institutes oxygen therapy for the patient. Which goal should the nurse set as a positive patient outcome of airway maintenance?
a. Increased pulse rate
b. Increased restlessness
c. A complaint of slight lethargy
d. An oxygen saturation of 95%
D
Oxygen saturation at 95% is a positive patient outcome of oxygen therapy because it indicates a PaO2 between 80 and 100 mm Hg, which is within normal limits. The nurse expects normal sinus rhythm, heart rate between 60 and 100 beats/min, and a nonrestless patient, indicating adequate oxygenation. Patients can become tachycardic as a compensatory mechanism for hypoxemia; older patients exhibit restlessness as an initial indicator of hypoxemia.
You might also like to view...
A nurse is applying for work at a clinic that offers therapeutic abortions, which contradicts the nurse's personal beliefs. The nurse feels unable to care for these patients objectively. What is the nurse's ethical obligation to these patients?
A) The nurse is required by law to continue service to these patients. B) The nurse should make the choice to decline this position. C) The nurse may discriminate between patients and refuse to care for the patient. D) The nurse may express his or her opinion and provide another option to terminating the pregnancy.
The challenge of coping with changes in family, careers, and relationships belongs to
1. adolescents. 2. young adults. 3. older adults. 4. middle-aged adults.
A nurse is feeding a patient. Which of the following statements would help a person maintain dignity while being fed?
A) "I am going to feed you your cereal first and then your eggs." B) "I wish I had more time so I could feed you all of your meal." C) "I know you don't like me to feed you, but you need to eat." D) "What part of your dinner would you like to eat first?"
While making her rounds, a nurse hears a cry for help. Upon entering the room she finds the
patient on the floor at the end of her bed. The side rails were up, the call button was within reach, and the bed was in its lowest position. The patient stated, "I needed to use the bathroom and I just didn't want to bother the nurses.". How should this incident be written in the occurrence report? A) The patient crawled out of bed attempting to go to the bathroom and fell. The call bell was in reach, the side rails were up, and the bed was in the lowest position. B) The nurse found the patient on the floor at the end of her bed. The side rails were up, the bed was in its lowest position, and the call bell had been within reach. C) Though instructed to call for help, the patient insisted on ambulating without assistance. She was found on the floor. D) The patient was found on the floor. Assisted back to bed. No injuries noted. Instructed to call the nurse prior to getting out of bed in the future.