Difficulty: Medium
Average Score: 76%
Simulated
A nurse is caring for a client who has returned to the unit following a surgical procedure. The clientÔÇÖs oxygen saturation is 85%. Which action should the nurse take first?
Correct answer
B
Rationale
The correct answer is B: Raise the head of the bed. This action promotes optimal lung expansion and ventilation, which can help improve oxygen saturation levels. Elevating the head of the bed enhances respiratory mechanics and aids in better oxygenation. Obtaining a chest x-ray (choice A) may be necessary later but is not the priority at this moment. Administering analgesics (choice C) would not directly address the oxygen saturation level. Administering oxygen at 2 L/min (choice D) without addressing the underlying cause may not be effective in improving oxygenation.