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The PACU Nurse Is Caring for an Unconscious Patient

Question 18

Multiple Choice

The PACU nurse is caring for an unconscious patient.Assessment reveals diminished breath sounds bilaterally.Which action should the nurse take?


A) Hyperventilate the patient with an Ambu bag.
B) Increase bi-nasal oxygen to 3 L/min.
C) Elevate the head of bed 45 degrees.
D) Document "diminished breath sounds in both lower lobes."

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