The female client is 15 years old and refuses to let the nurse remove nail polish and an acrylic nail for SaO2 measurements. Which should the nurse implement to monitor the client's SaO2 ac-curately and immediately?
1. Apply the sensor to the earlobe.
2. Ask the client again in 30 minutes.
3. Collaborate for arterial blood gases.
4. Assess client about resisting therapy.
1
1. To avoid a client confrontation and to maintain client satisfaction, the nurse applies the oxygen sensor to the client's earlobe; besides, the earlobe reflects changes in oxygen saturation within 5 to 10 seconds and in the fingertip within 30 seconds.
2. The nurse delays obtaining a vital measurement by 30 minutes by waiting to ask the client again. This is unnecessary because using the earlobe is feasible.
3. Arterial blood gases are not indicated.
4. The nurse can ask the client about resisting therapy later because questioning is unlikely to produce a rapid change in the client's attitude.
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