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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Rationale:

A. Cleansing the client's outer ear with isopropyl alcohol to remove wax is not recommended because it can cause irritation and dryness.

B. Pulling the client's pinna downward and back is an incorrect technique for instilling otic medication in an adult client. An adult ear should be pulled upwards and backwards.

C. Holding the ear dropper 1 cm (0.5 in) from the client's ear is accurate.

D. Requesting the client remain supine for 10 min following administration is not necessary and may not be practical, instead the client should lie on the contralateral side.

A. Postpone the procedure until the staff contacts the guardian. B. Obtain consent from the client. C. Prepare the client for surgery with implied consent. D. Request that the provider sign the consent form.

Correct Answer is C

Explanation

Rationale:

A. Postponing the procedure could put the client at risk if the appendicitis worsens.

B. Obtaining consent from the client may not be possible due to the client's developmental disability.

C. Preparing the client for surgery with implied consent is appropriate when the client is unable to provide consent and the procedure is urgent.

D. Requesting that the provider sign the consent form is not appropriate because the provider cannot provide consent on behalf of the client.

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A nurse is planning to obtain a client's oxygen saturation. Which of the following might influence the result of this test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to instill an otic medication for an adult client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?

Correct Answer is C

Explanation

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