The nurse is caring for a patient who is slow to awaken following general anesthesia. The patient is breathing spontaneously but is minimally responsive and having difficulty maintaining a patent airway.
Which intervention is the most appropriate for the patient to improve oxygenation?
a.
Insert an oral airway.
b.
Lower the head of the bed.
c.
Turn the patient's head to the side.
d.
Monitor the patient's pulse oximetry.
Question 2
The nurse is caring for a patient with a history of left-sided congestive heart failure who is acutely short of breath. The nurse hears fine crackles throughout both lung fields and notes that the patient's pulse oximetry is only 88 on 4 L of oxygen.
What is the priority intervention of the nurse?
a.
Administer the ordered intravenous diuretic.
b.
Prepare for insertion of a chest tube.
c.
Suction secretions from the patient's respiratory tract.
d.
Have the patient use the ordered incentive spirometer.
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