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Quizgecko | NCLEX-RNBeta
NCLEX-RN practice questions that teach the reasoning.
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Management of CareQuestion 12
A client develops new confusion, a respiratory rate of 30, and an oxygen saturation of 88%. Which action should the nurse take first?
Assess airway and oxygenation
Correct. New hypoxaemia and tachypnoea make airway and breathing the immediate priority.
B
Review the medication chart
This may identify a cause, but it comes after stabilising the immediate breathing problem.
C
Document the change in condition
Documentation is necessary after assessment and urgent intervention, not before them.
Every option explained
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