A nurse is assessing a client's pulse oximetry reading and notices that the waveform is irregular and inconsistent. What action should the nurse take?
Document the finding as a normal variation.
Reapply the pulse oximeter on a different finger.
Assess the client for signs of respiratory distress.
Notify the healthcare provider of the irregular waveform. Answer: b. Reapply the pulse oximeter on a different finger.
The Correct Answer is B
indicate poor sensor placement or a faulty pulse oximeter. The nurse should reapply the pulse oximeter on a different finger to obtain an accurate reading.
a. An irregular waveform is not a normal variation and should be investigated further.
c. Assessing the client for signs of respiratory distress is important but may not directly address the irregular waveform.
d. Notifying the healthcare provider may be necessary if the issue persists after reapplying the pulse oximeter.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation: Heart rate reflects the number of times the heart beats per minute and is an essential vital sign in assessing cardiovascular function.
a. Respiratory rate measures the number of breaths per minute, not heartbeats.
b. Blood pressure is the force of blood against the walls of arteries and is measured in mmHg, not heartbeats per minute.
d. Oxygen saturation measures the percentage of hemoglobin that is saturated with oxygen, not heartbeats per minute.
Correct Answer is D
Explanation
Answer: d. 86%
Explanation: An oxygen saturation level of 86% indicates severe hypoxemia and requires immediate intervention to ensure adequate oxygenation.
a. Oxygen saturation levels of 95% are within the normal range and do not require immediate intervention.
b. Oxygen saturation levels of 92% are relatively low but may not require immediate intervention depending on the client's clinical condition.
c. Oxygen saturation levels of 89% indicate significant hypoxemia and require intervention, but immediate intervention is required at a level of 86%.
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