A nurse is preparing to obtain the oxygen saturation of a client who has peripheral edema and thickened toenails. Which of the following actions should the nurse take?
Attach a probe carefully to the client's finger to prevent discomfort.
Apply a sensor pad to the client's forehead.
Secure a probe to one of the client's toes.
Obtain a pulse oximetry reading when peripheral edema has decreased.
The Correct Answer is B
A. Attach a probe carefully to the client's finger to prevent discomfort. Peripheral edema may impair circulation, leading to inaccurate readings.
B. Apply a sensor pad to the client's forehead. The forehead provides a more accurate reading when peripheral circulation is compromised.
C. Secure a probe to one of the client's toes. Thickened toenails and edema may interfere with an accurate reading.
D. Obtain a pulse oximetry reading when peripheral edema has decreased. The nurse should not delay obtaining an oxygen saturation reading if an alternative site is available.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Papule – A papule is a raised, solid lesion (e.g., a mole) and is palpable, not flat.
B. Vesicle – A vesicle is a fluid-filled blister (e.g., herpes, chickenpox), which is not the case here.
C. Nodule – A nodule is a deep, raised lesion that extends into the dermis or subcutaneous tissue.
D. Macule – A macule is a flat, nonpalpable skin discoloration that is less than 1 cm (e.g., a freckle or petechiae).
Correct Answer is B
Explanation
A. "Picture yourself in one of your favorite places." This statement is related to visualization, which is a different technique, not specifically meditation.
B. "Choose a word to help focus your attention." Mantra meditation involves repeating a word or phrase to enhance focus and promote relaxation.
C. "Quickly inhale deeply and hold your breath for 30 seconds." Holding the breath for 30 seconds can increase anxiety rather than reduce it. Meditation encourages slow, deep breathing, not breath-holding.
D. "Plan for 1 hour of meditation for each session." Meditation can be beneficial even if done for a few minutes. For beginners, shorter sessions (e.g., 5–10 minutes) are recommended.
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