A Woman with a History of Heart Failure Is in Labor

question 57

Multiple Choice

A woman with a history of heart failure is in labor and has the following vital signs: blood pressure: 100/58 mm Hg,pulse: 120 beats/minute,respiratory rate: 36 breaths/minute,oxygen saturation: 88%.Which action should the nurse perform first?

• A) Administer oxygen at 10 L/min per rebreather mask.
• B) Call the health-care provider to report the results.
• C) Document the findings in the patient's chart.
• D) Increase the woman's IV infusion to 150 mL/hour.