A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first?

Place the child in the Fowler's position.

Ensure proper placement of the sensor probe.

Increase the oxygen flow rate.

Encourage the child to take deep breaths.

Answer and Explanation

The Correct Answer is B

Choice A reason: While the Fowler's position can aid in breathing, it is not the first action to take if the oxygen saturation monitor is reading low.

Choice B reason: Ensuring the proper placement of the sensor probe is the first step, as incorrect placement can lead to inaccurate readings.

Choice C reason: Increasing the oxygen flow rate should only be considered after confirming the accuracy of the oxygen saturation reading.

Choice D reason: Encouraging deep breaths may be helpful, but it is not the first action to take. The priority is to ensure the oxygen saturation reading is accurate.

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Correct Answer is D

Explanation

Choice A reason: Hyperventilation can be a sign of oxygen toxicity as the body attempts to balance oxygen and carbon dioxide levels.

Choice B reason: Increased blood pressure is not typically a direct sign of oxygen toxicity; it may be related to other underlying conditions.

Choice C reason: Decreased PaCO2 can be a result of hyperventilation, which is a compensatory mechanism in response to oxygen toxicity.

Choice D reason: Unconsciousness can be a severe sign of oxygen toxicity, indicating a high level of oxygen in the blood affecting brain function.

A. Use a universal dropper for medication administration B. Add the medication to a formula bottle before feeding C. Ask the pharmacy to add flavoring to the medication D. Use the nipple of a bottle to administer the medication

Correct Answer is ["A","C"]

Explanation

Choice A reason: Using a universal dropper ensures accurate dosing, which is crucial for infants due to their small size and the precise dosing required for their medications.

Choice B reason: Adding medication to a formula bottle is not recommended because if the infant does not finish the bottle, they will not receive the full medication dose.

Choice C reason: Flavoring can help mask the taste of medications, making it easier for infants to take them, which is especially useful if the medication has an unpleasant taste.

Choice D reason: Using the nipple of a bottle can be an effective way to administer medication to an infant who is used to bottle-feeding, as it can make the process more familiar and comfortable.

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A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity?

Correct Answer is D

Explanation

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Correct Answer is ["A","C"]

Explanation

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