The nurse receives a new prescription to administer oxygen at 3 L/minute via nasal cannula to maintain an oxygen saturation between 90 and 100% for a client. The nurse obtains an oxygen saturation reading of 85%, and after repositioning the oximeter on a different finger, obtains a second reading of 87%. Which action should the nurse take next?
Place the client in a Trendelenburg position.
Securely place the prongs of the cannula in the nostrils.
Place the pulse oximeter on the client's earlobe.
Document the second reading in the client's record.
The Correct Answer is B
Choice A reason: The Trendelenburg position is not indicated for increasing oxygen saturation and could be harmful, especially for clients with respiratory distress.
Choice B reason: Ensuring that the prongs of the nasal cannula are securely placed in the nostrils is important for effective oxygen delivery, especially if the oxygen saturation remains below the prescribed range.
Choice C reason: Placing the pulse oximeter on the client's earlobe is an alternative site for obtaining a saturation reading, but it does not address the issue of potentially inadequate oxygen delivery.
Choice D reason: While documentation is important, the nurse must first address the low oxygen saturation levels before documenting the readings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Leaving the dressing off is not advisable as it can expose the wound to potential infection and delay healing.
Choice B reason: A transparent dressing may not be the best choice for a stage 3 pressure injury with significant granulation tissue.
Choice C reason: Increasing the frequency of dressing changes without specific orders may not be necessary and could disrupt the healing process.
Choice D reason: A hydrocolloid gel dressing is appropriate for a stage 3 pressure injury as it maintains a moist environment, which is conducive to wound healing and granulation.
Correct Answer is ["D","E"]
Explanation
Choice A reason: Oatmeal, cream of wheat, and pureed liquids are not clear liquids and are not appropriate for a clear liquid diet.
Choice B reason: Pureed beans, liquid protein supplements, and milkshakes are not considered clear liquids and should not be included in a clear liquid diet.
Choice C reason: Pureed carrots, creamed soup, and ice cream are not clear liquids because they are not transparent and cannot be consumed on a clear liquid diet.
Choice D reason: Carbonated drinks, gelatin, and broth are considered clear liquids because they are transparent and can be consumed on a clear liquid diet.
Choice E reason: Water, tea without milk or cream, and ice chips are clear liquids and are appropriate for a clear liquid diet.
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