Practice Quiz

Cardiac-Vascular Nursing Exam Prep II

Category - AACN Cardiac Vascular Nursing Practice Test

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A patient with cyanosis is admitted to the emergency room without a diagnosis. Which of the nursing action is a priority in relation to oxygen administration?
  1. Wait for the lab reports
  2. Wait for the physician to order oxygen administration
  3. Administer oxygen at 2 liters flow per minute
  4. Administer oxygen at 10 liters flow per minute and check the oxygen saturation of the patient
Explanation
Answer- C - The priority nursing action in relation to oxygen administration would be to administer oxygen at 2 liters per minute. Oxygen should not be administered at higher rates because if the patient is emphysemic and receives high flow oxygen, he will develop CO2 narcosis and the respiratory system will cease to function.
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