A nurse is planning to obtain a client's oxygen saturation. Which of the following might influence the result of this test?
The client has a fever.
The client has an elevated hemoglobin level.
The client is wearing a ring.
The client is wearing nail polish.
The Correct Answer is D
Rationale:
A. A fever may influence the result of an oxygen saturation test but is not a direct factor.
B. An elevated hemoglobin level is unlikely to influence the result of an oxygen saturation test.
C. Wearing a ring is unlikely to influence the result of an oxygen saturation test.
D. Wearing nail polish can interfere with the accuracy of pulse oximetry readings by causing an inaccurate reflection of light, leading to a falsely low oxygen saturation reading.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Ensuring that the stool specimen does not contain urine helps to prevent false-positive results, as blood from urine could interfere with the test.
B. Each fecal occult blood test should be performed using a fresh stool specimen to ensure accuracy.
C. Having the client defecate into a bedpan with water is unnecessary and may interfere with the test.
D. Standard precautions, including wearing gloves, are sufficient for handling stool specimens; sterile gloves are not required for this procedure.
Correct Answer is A
Explanation
Rationale:
A. Documenting the status of the episiotomy, including its size and approximation, is important for monitoring wound healing and ensuring appropriate postpartum care.
B. While providing self-care instructions is important, it is not a specific documentation related to the postpartum condition.
C. Fluid intake with meals is important for overall health but may not be specifically related to the postpartum condition.
D. Documenting an elevated oral temperature may be relevant for assessing the client's health status but is not specific to the postpartum condition.
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