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Home Q & A Board Biology-Related Homework Help Medicine
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6 years ago
The nurse admits an alert client with a diagnosis of pneumonia and assesses vital signs and oxygen saturation. The client's respiratory rate is 26, and oxygen saturation is 89.
 
  What actions can the nurse take independently to support respirations and reduce hypoxia? 1. Apply oxygen.
  2. Raise the head of the bed.
  3. Administer a bronchodilator.
  4. Insert an oral airway.
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6 years ago
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Rationale: The nurse should raise the head of the bed and place the client in either the high Fowler's or orthopneic position to improve oxygenation. Administration of oxygen and bronchodilators require a physician's order, and cannot be performed independently. Inserting an oral airway would not improve oxygenation, and is contraindicated in an alert adult client who does not have an airway obstruction.
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