NCLEX-PN

NCLEX Trainer Test 10

Difficulty: Medium Average Score: 77% Full-length

Passage / Scenario

The nurse performs a routine IV tubing change on a 55-year-old woman with a central line. Fifteen minutes later, the nurse reenters the patient's room to find her cyanotic, short of breath, and complaining of pain. Her vital signs are BP 84/62, pulse 112, respirations 18.

What is the FIRST action the nurse should take?

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