You have delegated the task of obtaining a pulse oximetry reading to the NAP. Which of the following statements by the NAP indicates a need for further education?
a. "The pulse oximetry reading was 95%.".
b. "The patient's pulse rate was 78 according to the readout.".
c. "I made sure the patient did not have nail polish on.".
d. "I made sure the patient was not receiving a respiratory treatment.".
B
Pulse oximetry should not be used to obtain heart rates because they will not detect an irregular pulse. The patient's nail polish should be removed and the patient should not be receiving respi-ratory treatments or PT during the readings because it can affect them. The readings are given in percentages.
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The nurse is caring for a client in the intensive care unit that is on life support measures. The family members are opposed in their decision to take the client off of life support. What option does the nurse discuss with the nurse manager?
A) Ask the family to go out of the unit and make a decision that is final. B) Contact the ethics committee for their input. C) Have the physician inform the family that they are not responsible for the decision. D) Taking the client off of life support when the family is not present.
A client being admitted for surgery has a concurrent history of bipolar disorder. The nurse would assess this client for manifestations of mania that include
a. crying spells. b. decreased energy level. c. excessive, rapid speech. d. sad mood.
A client diagnosed with post-traumatic stress disorder is experiencing insomnia. Which of the following interventions would be beneficial for this client?
1. Suggest daytime naps 2. Encourage the use of sedatives 3. Discuss the importance of exercise before sleep 4. Instruct in relaxation techniques or guided imagery
The nurse suspects that an adolescent is working through the stages of spiritual development. What observations did the nurse make to come to this conclusion?
1. Imitated behavior demonstrated by parents 2. Conceptualized angels and devils with the use of imagination 3. Compartmentalized differences between spiritual beliefs with friends 4. Determined differences between spiritual beliefs as being right or wrong 5. Met with the church priest to talk about the differences in spiritual beliefs