Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a client who has returned to the unit on a stretcher following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

Administer prescribed analgesic medication

Administer oxygen at 2 L/min.

Raise the head of the bed.

Encourage coughing and deep breathing

Answer and Explanation

The Correct Answer is C

A. Administering analgesics is not a priority in managing low oxygen saturation.

B. Administering oxygen is important but should follow positioning to improve oxygenation.

C. Raising the head of the bed improves lung expansion and is the priority intervention.

D. Coughing and deep breathing can follow after oxygenation is stabilized.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","D","E"]

Explanation

A. WBC results: The scenario does not mention abnormal WBC results or signs of infection, so this is not relevant to surgical risk in this case.

B. Aspirin: Aspirin has antiplatelet effects and increases the risk of bleeding during and after surgery. This risk is compounded in procedures requiring significant tissue manipulation.

C. Glucose level: No specific glucose value is provided; without evidence of uncontrolled hyperglycemia or hypoglycemia, this is not a confirmed risk factor here.

D. Smoking history: A 20-year history of smoking increases the risk of poor oxygenation, impaired wound healing, and respiratory complications during and after surgery.

E. Type 2 diabetes mellitus: Diabetes increases the risk of delayed wound healing and postoperative infections due to hyperglycemia and impaired immune function.

A. Blood pressure of 120/84 mm Hg B. Hypoactive bowel sounds. C. Respiratory rate of 9 breaths per minute. D. Urine output 90 mL over the last 2 hours.

Correct Answer is C

Explanation

A. A blood pressure of 120/84 mm Hg is within normal limits and does not require immediate intervention.

B. Hypoactive bowel sounds are a common side effect of sedation and not an immediate concern.

C. A respiratory rate of 9 breaths per minute indicates respiratory depression, which is a life-threatening side effect of Propofol. Immediate intervention is required to maintain oxygenation.

D. Urine output of 90 mL over 2 hours is adequate and does not indicate acute distress.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has returned to the unit on a stretcher following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for a surgical procedure. 3 Exhibits The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?

Correct Answer is C

Explanation

What type of procedural information should be given to a client in preparation for ambulatory surgery? (Select All that Apply)

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

The nurse is caring for a client in the immediate post-operative period. On assessment, the nurse notes the client's bowels are protruding from the abdominal incision. Which intervention(s) by the nurse are most appropriate at this time? (Select All That Apply]

A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]

During a pre-surgical admission assessment, a client states. "I've told my surgeon that I am Jehovah's Witness and I won't accept a blood transfusion." Which statement by the nurse would be most appropriate?

A nurse is caring for a client receiving fentanyl. On assessment, the client's respiratory rate is 8 breaths per minute. Which medication is appropriate at this time?