Management of CareCâu 4 / 120
The nurse is caring for four clients. Applying the ABC framework, which finding requires the most immediate action?
a.Blood pressure of 148/88 mm Hg
b.Temperature of 100.8 F (38.2 C)
c.Reports of mild incisional pain
d.Oxygen saturation of 86% on room air
Giải thích
An oxygen saturation of 86% reflects a breathing and oxygenation emergency and takes priority over an elevated blood pressure, a low-grade fever, or mild pain.
Luyện miễn phí toàn bộ 120 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- A charge nurse is assigning tasks at the start of a shift. Which task is appropriate to delegate to unlicensed assistive personnel (UAP)?
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- A nurse delegates client hygiene to a UAP. Which statement reflects the nurse's continued accountability?
- Which situation is the highest priority for the nurse to report to the oncoming shift during handoff?
- A nurse observes a coworker preparing to administer a medication without checking the client's identification band. What is the nurse's best initial action?
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Sen Lin, Người sáng lập PrepPass · Đối chiếu với NCLEX-RN (National Council Licensure Exam — Registered Nurse) · Quy trình kiểm tra