The nurse is obtaining a pulse oximetry reading for a client admited with exacerbation of chronic obstructive pulmonary disease (COPD). When observing a reading of 91%. what action should the nurse perform?
No action is required, because this may be normal for the client
The nurse should prepare intubation equipment for the health care provider
Administer oxygen at 6 L/m by nasal cannula
Have the client breath into a paper bag
The Correct Answer is A
A. This is the most appropriate response. Clients with COPD often have chronically elevated carbon dioxide levels, which can lead to a compensatory decrease in the oxygen saturation level. A reading of 91% may be within their normal range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A tracheostomy is a surgical procedure that involves creating an opening in the neck to establish a direct airway to the trachea. It is usually done in patients who require long-term mechanical ventilation or have upper airway obstruction. In case the tracheostomy becomes dislodged, the following equipment should be available to ensure the patient's safety:
Tracheostomy kit setup: This includes a new tracheostomy tube, obturator, and other equipment necessary to replace the dislodged tracheostomy tube.
Suction equipment: Dislodgement of the tracheostomy tube can cause airway obstruction due to the presence of secretions. Suction equipment can be used to remove the secretions and prevent airway obstruction.
Smaller Tracheostomy Tube and Same size Tracheostomy Tube: If the dislodged tracheostomy tube cannot be reinserted or is damaged, having smaller and same size tracheostomy tubes available can be helpful in establishing a new airway.
Ambu bag: This is a manual resuscitation device used to provide positive pressure ventilation to the patient. It can be used in case the patient's breathing is compromised due to airway obstruction.
Oxygen: The patient may require supplemental oxygen if their breathing is compromised due to airway obstruction.
Larger Tracheostomy Tube: A larger tracheostomy tube may not be needed immediately and may be contraindicated in some cases as it can cause trauma to the tracheal wall.
Correct Answer is A
Explanation
The left ventricle is responsible for pumping oxygen-rich blood from the heart to the rest of the body. In heart failure, the left ventricle is weakened and unable to pump blood efficiently, resulting in reduced blood flow to the body's tissues. This can lead to symptoms such as fatigue, shortness of breath, and swelling in the legs and feet. Treatment for heart failure may include medications, lifestyle changes, and in some cases, surgical interventions such as a heart transplant.
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