Difficulty: Medium
Average Score: 63%
Simulated
A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?
Correct answer
A
Rationale
Rechecking SaO2 after coughing ensures accuracy, as secretions may affect readings; itÔÇÖs the priority action. Choice B delays immediate assessment. Choice C is premature before verification. Choice D is secondary to confirming the current status.