160k views
1 vote
A nurse is caring for a client following extubation of her endotracheal tube 10 minutes ago. Which of the following findings should the nurse report to the provider immediately?

A) Hoarseness.
B) Frequent coughing.
C) Respiratory rate of 18 breaths per minute.
D) Oxygen saturation of 90%.

1 Answer

1 vote

Final answer:

The finding that must be reported to the provider immediately following extubation is an oxygen saturation of 90%, as it signifies hypoxemia, which can indicate serious respiratory issues.

Step-by-step explanation:

If a nurse is caring for a client who was recently extubated, which of the following findings should be reported to the provider immediately? The answer is D) Oxygen saturation of 90%. This constitutes hypoxemia, which is a lower-than-normal level of oxygen in the blood and could be a sign of respiratory distress or complications post-extubation. While hoarseness and frequent coughing are also common symptoms to monitor after extubation, they do not typically require immediate reporting unless they are severe or accompanied by other concerning symptoms. A respiratory rate of 18 breaths per minute is within the normal range and therefore not a cause for immediate concern.

User Johan Hoeksma
by
8.2k points
Welcome to QAmmunity.org, where you can ask questions and receive answers from other members of our community.