The nurse teaches the client about the pulse oximeter alarm to engage the client in self-care. Which is the best client teaching the nurse provides about the pulse oximeter alarm?

Question

1. The sensor becomes dislodged.
2. The client needs to breathe deeply.
3. The nurse needs to measure vital signs.
4. Oxygen level falls below desired range.

Answer 1

2
2. The best information to provide is to prompt the client to take a deep breath to in-crease oxygen saturation The nurse also teaches the client that the nurse responds to the alarm knowing the client was briefly hypoxemic; if the client is able to breathe deeply in response, the nurse assesses the client's ability to increase oxygenation. If the client cannot take a deep breath or not increase the oxygen saturation, if the nurse responds to the alarm, the nurse will be at the bedside to care for the client.
1 and 4. The nurse includes client teaching about keeping the sensor in place and about falling oxygen levels; however, this information does little to affect the client positively and engage the client is self-care.
3. The nurse potentially needs to measure vital signs when the alarm sounds but does not rely on activation of the alarm to measure vital signs.