Reduction of Risk PotentialQuestion 107 of 2368
A client who received an opioid is difficult to arouse and has shallow respirations. The SpO2 is 96%. Which action by the nurse is most appropriate?
- Report the findings because hypercapnia is possible despite the normal SpO2.
- Document the findings because the SpO2 is normal.
- Reassess the client again at the next scheduled vital signs.
- Encourage the client to sleep and reduce stimulation.
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Correct answer: Report the findings because hypercapnia is possible despite the normal SpO2.
Clients with hypercapnia may have sedation and shallow breathing with a normal SpO2. This should not give false reassurance.
Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Oxygenation: Hypoxia and Hypercapnia. Licensed under CC BY 4.0.
Practice the topic "Reduction of Risk Potential"Questions last reviewed: 18 October 2026