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An Elderly Client Is Brought to the Emergency Department with Lethargy

Question 136

Multiple Choice

An elderly client is brought to the emergency department with lethargy, chills, and sharp chest pain with deep breathing.  Pulse oximeter shows 93% on room air and respirations are 24/min.  What is the nurse's initial action?


A) Administer intravenous (IV) morphine
B) Auscultate the client's lung sounds
C) Initiate an IV infusion of normal saline
D) Initiate nasal oxygen at 3 L/min

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