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    ATI ns 550 Fundamentals proctored Exam

    A nurse is preparing to suction a patient with thick oral secretions. Which finding will cause the nurse to stop suctioning?

    Explanation & Rationale

    Choice A reason: An oxygen saturation of 88% indicates hypoxemia, a critical finding requiring the nurse to stop suctioning. Suctioning can worsen hypoxia by removing oxygen from the airway, necessitating immediate cessation and oxygenation to stabilize the patient, making this the priority reason to halt the procedure. Choice B reason: Blood pressure of 132/88 mmHg is within normal range and not a reason to stop suctioning. Suctioning may cause transient vital sign changes, but this stable reading does not indicate distress, making it an inappropriate reason to halt the procedure. Choice C reason: A heart rate of 110 bpm indicates tachycardia, possibly from suctioning stress, but is not critical enough to stop unless accompanied by other signs (e.g., hypoxia). Oxygen saturation of 88% poses a greater immediate risk, making this less urgent. Choice D reason: A respiratory rate of 24 breaths/min is elevated but within acceptable limits during suctioning, which can stimulate breathing. Hypoxemia (88% saturation) is a more immediate threat, requiring suctioning to stop, making this finding less critical.

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