Asked by Necko Clayton on Apr 23, 2024
Verified
The RN is ambulating a client with pneumonia.During the walk,the client's oxygen saturation drops to 83% and her respiratory rate increases to 32.What action should the RN take?
A) Allow the client to take some extra deep breaths
B) Continue to ambulate but slow the pace
C) Notify the charge nurse to call for the Early Response Team
D) Stop ambulating,encourage the client to take slow deep breaths,and administer oxygen
Oxygen Saturation
A measure of the amount of oxygen-carrying hemoglobin in the blood relative to the amount of hemoglobin not carrying oxygen, indicative of the efficiency of oxygen delivery to tissues.
Respiratory Rate
The number of breaths a person takes per minute; it's a critical vital sign used to assess respiratory health.
Pneumonia
An infectious disease affecting one or both lungs, often caused by bacteria, viruses, or fungi, leading to the inflammation of the air sacs in the lungs which may fill with fluid or pus.
- Identify the signs and implement suitable nursing actions for different conditions influenced by temperature.
Verified Answer
RM
Ritesh Mankar6 days ago
Final Answer :
D
Explanation :
A drop in oxygen saturation and an increase in respiratory rate indicate respiratory distress. The RN should immediately stop ambulating the client and encourage them to take slow deep breaths. Administering oxygen is also necessary to increase oxygen saturation levels. Notify the healthcare provider or Rapid Response Team, depending on the facility protocol, should also be performed as soon as possible.
Learning Objectives
- Identify the signs and implement suitable nursing actions for different conditions influenced by temperature.