A patient's oxygen saturation value is 92% on room air. What does this value mean to the nurse?
a. The percentage of oxygen in the lungs
b. The partial pressure of the oxygen in the blood
c. The amount of oxygen saturating the lymphocytes
d. The percentage of hemoglobin that is saturated with oxygen
ANS: D
Oxygen saturation measures the percentage of hemoglobin that is saturated with oxygen. A. Oxygen saturation does not reflect the percent of oxygen in the lungs. B. The partial pressure of oxygen describes a blood gas, not saturation. C. Oxygen does not saturate lymphocytes.
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The nurse knows the following changes in sleep patterns occur in the older adult: (Select all that apply.)
a. Sleep increases to approximately 8 to 10 hours a night. b. REM sleep is shorter. c. Stage 4 NREM is decreased. d. The use of medication may interfere with sleep. e. Older adults awaken more at night.
Which of the following would the community health nurse use to describe resiliency?
A) Support from friends B) Temperament C) Visits by nurses D) Recovery ability
The nurse is documenting care for a ventilated client. Which items are appropriate for the nurse to include in the documentation?
1. Assignment of suctioning to the unlicensed assistive personnel (UAP) 2. Client response to ventilator changes 3. Pertinent laboratory values, such as arterial blood gas results 4. Physical assessment findings 5. Pain rating using an appropriate pain rating scale
On entering the client's room, the nurse sees a fire burning in the trash can next to the bed. The nurse removes the client and calls the fire alarm. The next action of the nurse is to:
A. Extinguish the fire B. Remove all of the other clients from the unit C. Close all the doors of client rooms D. Move the trash can into the bathroom