A nurse is conducting a morning assessment of an elderly client who is being rehabilitated after orthopedic surgery. In addition to vital signs, the nurse assesses the client's oxygenation by pulse oximetry
At what SpO2 reading should the nurse begin to consider additional respiratory assessments and interventions? A) SpO2 96%
B) SpO2 93%
C) SpO2 89%
D) SpO2 86%
C
Feedback:
In general, the nurse should consider additional assessments and interventions if a client's oxygen level is below 90%. The normal range is 95% to 100%.
You might also like to view...
The nurse is performing a physical examination on a patient with neurologic disease. What finding from the examination is the most indicative of diminished cerebral hemisphere functioning?
A) Deteriorating level of consciousness B) Positive Romberg test C) Unequal pupillary response D) Glasgow Coma Scale score of 15
Documentation is a vital nursing role since the patient's health record:
a. should be completed accurately and in a timely manner. b. should not be computerized (EHR) because of disclosure risks. c. is not a legal document although they can be helpful in lawsuits. d. cannot be used in determining billing and reimbursement issues.
A female client with obsessive-compulsive disorder is undergoing treatment in an outpatient setting and is attending group therapy sessions. She is working on controlling the compulsion of touching her head three times every time she talks
To maintain the therapeutic relationship established with the client, by which action can the nurse show acceptance? a. Ignoring the compulsion during the group therapy session and talking with the client privately about the behavior b. Asking the group to remind the client every time she touches her head to help her consciously stop the compulsion c. Pointing out the compulsion to the group each time the client exhibits the behavior d. Asking the client to stop talking during the group session until she has learned to control her compulsion
The nurse explains that the difference between open-angle and closed-angle glaucoma is that, with closed-angle glaucoma:
1. the onset is acute. 2. trabeculectomy is the initial treatment. 3. can be treated conservatively. 4. intraocular pressure drops suddenly.