A postoperative client has an oxygen saturation of 96% but is pale and dyspneic and says, "I can't get enough air!" The client's lung sounds are clear. Which action by the nurse is most ap-propriate?
a. Call the physician and request a hemoglo-bin and hematocrit level.
b. Notify respiratory therapy and request a breathing treatment.
c. Encourage the client to cough and deep breathe 10 times each hour.
d. Take the client's temperature and give antipyretics if needed.
A
A normal pulse oximetry reading is 95% to 100%. Pulse oximetry measures the percent of he-moglobin saturated with oxygen. However, if the client's hemoglobin level is low, the pulse oximetry reading may not correlate with his or her condition. A postoperative client is at risk for bleeding, so the nurse should request a hemoglobin and hematocrit level. Respiratory treatment is not indicated. Coughing and deep breathing are appropriate but are not the priority. Monitoring for and treating fevers is also appropriate but is not the priority.
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