Difficulty: Medium
Average Score: 81%
Simulated
Passage / Scenario
A nurse is obtaining the client├óÔé¼Ôäós vital signs prior to an endoscopyThe nurse should first anticipate-------, followed by-----------
Correct answer
A,E
Rationale
The correct answer is A, obtain IV access, and E, prepare to administer IV fluids. First, obtaining IV access is essential to establish a route for administering medications and fluids. This step is crucial in a critical situation to ensure quick access for emergency interventions. Next, preparing to administer IV fluids is important to address potential fluid imbalances or hypovolemia in the client. The other choices are incorrect because placing the client in a supine position with feet elevated (B) may be contraindicated in certain conditions, rechecking oxygen saturation (C) may delay urgent interventions, calling the surgical suite (D) is premature without stabilizing the client first, checking an arterial blood gas (F) and ECG (G) are important but not immediate priorities in this scenario.