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What should the nurse do first?



The nurse comes into the patient's room and discovers that the patient's pulse oximetry reading is 91%.
A. Notify the Rapid Response Team
B. Assess the patient s respiratory status
C. Apply supplemental oxygen
D. Place patient in high-Fowler s position
Asked by Henry, Last updated: Mar 29, 2020

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1 Answer

John Smith

John Smith

Answered Sep 12, 2016

Assess the patient s respiratory status
A reading between 95%-100% is WNL, while a reading less than 85% is life-threatening. Since this question asks what the nurse will do FIRST, the nurse should assess before implementing an appropriate intervention. Remember ADPIE.
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