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Assessment of a Patient Postarthroplasty Reveals Tachypnea, Air Hunger, Hypoxia

Question 18

Multiple Choice

Assessment of a patient postarthroplasty reveals tachypnea, air hunger, hypoxia, O2 sat of 86%, declining mental status, and petechiae. What is the nurse's priority action?


A) Apply oxygen at 3 to 4 liters /minute.
B) Call a code for potential cardiac arrest.
C) Prepare the patient for immediate intubation and mechanical ventilation with PEEP.
D) Raise the head of the bed (HOB) and encourage coughing every hour.

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