Difficulty: Medium
Average Score: 74%
Full-length
The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:
Correct answer
C
Rationale
An O2 saturation of 68% indicates severe hypoxemia requiring immediate oxygen administration (e.g. via mask) to restore oxygenation. Elevating the head rechecking later or assessing heart rate are secondary to correcting hypoxia.