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The Nursing Assistant Is Caring for a Postoperative Client Supine

Question 2

Multiple Choice

The nursing assistant is caring for a postoperative client supine in bed receiving 2 L per nasal cannula who suddenly develops dyspnea, RR 28, HR 110, BP 100/60, T 97°F, and pulse oximeter 88%. What action should the nursing assistant take immediately after notifying the nurse?


A) Determine whether the oxygen is on and not kinked.
B) Chart the observations and vitals.
C) Ask the client to cough and breathe deeply.
D) Raise the head of the bed to high Fowlers.

Correct Answer:

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