An 81-year-old woman is on her third day of hospitalization for an exacerbation of her chronic congestive heart failure. Her symptoms have improved over the course of her stay. The nurse notes that her vital signs are as follows: oxygen saturation (SaO2), 81% on room air; respiratory rate, 18 breaths/min; heart rate, 90 beats/min; and blood pressure, 131/88 mm Hg. Her SaO2 on room air for the past day has been over 95%. She appears to be breathing comfortably at this time and does not appear ill. What is the first thing that the nurse should do?

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The Cardiac Medicine Certification (CMC) exam is designed for certified nurses currently practicing in areas such as CCU, combined ICU/CCU, medical ICU, telemetry, progressive care, heart failure clinics/home care, interventional cardiology, cardiac catheterization labs and/or electrophysiology units. Exam content: Since all eligible candidates must hold a clinical nursing specialty certification, the 90-item subspecialty exams concentrate solely on the Synergy Model component of Clinical Judgment. Although components such as patient teaching and collaboration are very important in providing... Show more

An 81-year-old woman is on her third day of hospitalization for an exacerbation of her chronic congestive heart failure. Her symptoms have improved over the course of her stay. The nurse notes that her vital signs are as follows: oxygen saturation (SaO2), 81% on room air; respiratory rate, 18 breaths/min; heart rate, 90 beats/min; and blood pressure, 131/88 mm Hg. Her SaO2 on room air for the past day has been over 95%. She appears to be breathing comfortably at this time and does not appear ill. What is the first thing that the nurse should do?