A nurse is caring for several clients in the post-operative unit. Which client should the nurse see first?
Client with oxygen saturation of 8996
Client with a blood pressure of 8.8/58 mm Hg
Client with temperature of 102 F
Client with respiratory rate of 12 breaths/min
The Correct Answer is A
A. An oxygen saturation of 89% indicates hypoxemia, which poses an immediate threat to oxygenation and requires urgent intervention.
B. Hypotension is concerning but less critical than hypoxemia in this scenario.
C. A fever of 102°F requires monitoring and management but is not an immediate life threat.
D. A respiratory rate of 12 breaths/min is normal for an adult and does not require immediate action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assisting the client to remove jewelry is within the UAP's scope of practice and does not require clinical judgment.
B. Providing education about a surgical procedure requires nursing knowledge and cannot be delegated.
C. Instructing the client on the use of an incentive spirometer is a teaching activity requiring an RN’s expertise.
D. Witnessing informed consent is a legal responsibility that must be performed by an RN.
Correct Answer is A
Explanation
A. Herbs and supplements can interact with anesthesia or affect coagulation, increasing perioperative risks.
B. Lactose intolerance is unlikely to impact surgery unless dietary considerations postoperatively involve lactose-containing foods.
C. A lack of prior surgical experience is relevant but not critical compared to medication or supplement interactions.
D. Bee/wasp allergies are important but less urgent unless directly related to medications or procedures used.
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