The nurse is preparing to obtain an oxygen saturation reading on a toddler. Which action will the nurse take?
a. Secure the sensor to the toddler's earlobe.
b. Determine whether the toddler has a latex allergy.
c. Place the sensor on the bridge of the toddler's nose.
d. Overlook variations between an oximeter pulse rate and the toddler's pulse rate.
ANS: B
The nurse should determine whether the patient has latex allergy because disposable adhesive probes should not be used on patients with latex allergies. Earlobe and bridge of the nose sensors should not be used on infants and toddlers because of skin fragility. Oximeter pulse rate and the patient's apical pulse rate should be the same. Any difference requires re-evaluation of oximeter sensor probe placement and reassessment of pulse rates.
You might also like to view...
The client is 3 months pregnant. The nurse recently reviewed the objectives of Healthy People 2020 regarding pregnant women
Which of the following statements by the client indicates adequate education has occurred according to the objectives? Standard Text: Select all that apply. 1. "I never got my rubella vaccination so I've been staying away from my niece who has rubella.". 2. "I stopped taking Accutane for my acne before we started trying to get pregnant.". 3. "I have been so careful about taking my insulin now that I'm pregnant.". 4. "I have just one glass of wine each evening.". 5. "I had to change to a different medication to prevent my seizures before we got pregnant.".
A patient who is taking calcium supplements receives a prescription for ciprofloxacin [Cipro] for a urinary tract infection. The nurse will teach this patient to:
a. consume extra fluids while taking the ci-profloxacin to prevent hypercalciuria. b. stop taking the calcium supplements while taking the ciprofloxacin. c. take the two medications together to in-crease the absorption of both. d. take the calcium either 6 hours before or 2 hours after taking the ciprofloxacin.
A patient's cardiac monitor shows a pattern of undulations of varying contours and amplitude with no measurable ECG pattern. The patient is unconscious and pulseless. Which action should the nurse take first?
a. Perform immediate defibrillation. b. Give epinephrine (Adrenalin) IV. c. Prepare for endotracheal intubation. d. Give ventilations with a bag-valve-mask device.
What action by the nurse would indicate cultural competence?
a. Displays no favoritism b. Tries to treat all patients the same c. Prioritizes care based on cultural needs d. Wants to learn more about other ethnic groups