A client admitted for pneumonia begins to exhibit tachypnea, restlessness, and tachycardia. To address these symptoms, the nurse should prioritize evaluating the client’s oxygen saturation levels and implementing provider-ordered oxygen therapy when indicated.
This statement is correct because tachypnea, restlessness, and tachycardia are early signs of hypoxemia. It is critical for a nurse to assess the client's oxygen saturation levels immediately and initiate prescribed oxygen therapy to improve blood oxygenation, reduce respiratory effort, and prevent complications such as hypoxia or respiratory failure. Recognizing these symptoms and intervening quickly is a priority in respiratory care. Failure to monitor and address these changes could lead to adverse outcomes such as tissue hypoxia or even cardiac arrest.
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