A client with coronary artery disease has a sudden episode of cyanosis and a change in respirations. The nurse starts oxygen administration immediately. Legally, should the nurse have administered the oxygen?
1
The oxygen had not been ordered and therefore should not have been administered.
2
The symptoms were too vague for the nurse to determine a need for administering oxygen.
3
The nurse’s observations were sufficient, and therefore oxygen should have been administered.
4
The health care provider should have been called for an order before the nurse administered the oxygen.