A nurse is caring for a child that 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?
Encourage the child to take deep breaths.
Ensure proper placement of the sensor probe.
Place the child in the Fowler's position.
Increase the oxygen flow rate.
The Correct Answer is B
A. Encourage the child to take deep breaths: While deep breaths may help improve oxygenation, the first action should be confirming that the monitoring device is correctly placed and providing accurate readings.
B. Ensure proper placement of the sensor probe: Incorrect placement of the sensor probe (e.g., on a fingernail or a cold extremity) can lead to inaccurate oxygen saturation readings. Ensuring proper placement is the priority to verify the accuracy of the reading.
C. Place the child in the Fowler's position: Fowler's position can help with breathing, but before making this change, the nurse should first verify that the pulse oximeter is working correctly.
D. Increase the oxygen flow rate: Increasing the oxygen flow rate may be necessary if the child’s oxygen saturation remains low, but the first step is to ensure the monitoring device is accurate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Methylprednisolone: Methylprednisolone is a corticosteroid used to reduce inflammation but is not the first-line treatment for an acute asthma attack. It is used in the management of longer-term control and inflammation after the initial symptoms are managed.
B. Albuterol: Albuterol is a short-acting beta-agonist (SABA) that provides quick relief by dilating the airways. It is the first medication given during an acute asthma attack to relieve bronchospasm and improve airflow.
C. Montelukast: Montelukast is a leukotriene receptor antagonist used for long-term control and prevention of asthma symptoms but is not used in an acute asthma attack.
D. Fluticasone: Fluticasone is an inhaled corticosteroid used for long-term management of asthma to reduce inflammation, but it is not effective in treating an acute asthma attack.
Correct Answer is D
Explanation
A. Used to treat inflammation and swelling: Furosemide (Lasix) does not treat inflammation. It is a diuretic used to reduce fluid retention (edema), not inflammation.
B. Used in the treatment of hypertension and dysrhythmias: Furosemide is primarily used in the treatment of hypertension and edema, not dysrhythmias.
C. Used in the treatment of cystic fibrosis to help break up thick secretions: Furosemide is not used for cystic fibrosis; it is a loop diuretic used for fluid retention and hypertension.
D. Used in the treatment of hypertension and edema: Furosemide (Lasix) is a loop diuretic that helps to reduce fluid buildup (edema) and lower blood pressure in conditions such as heart failure, chronic kidney disease, and hypertension.
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