The nurse is caring for a client diagnosed with cardiogenic shock who requires continuous oxygen saturation monitoring. Where would the nurse place the probe?
1. The fingers
2. The toes
3. The ear
4. The thumb
Correct Answer: 3
A client in shock will have reduced perfusion to the extremities, so either the nose or the ear should be used, and the reading can be assessed for accuracy based on the pulse reading obtained from the oxygen saturation monitor.
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a. Body mass index of 46 b. Vegetarian diet c. Drinking 4 ounces of red wine nightly d. Pregnant with twins e. History of metabolic syndrome f. Glycosylated hemoglobin level of 15%
During the examination of a male client who has not been circumcised, the nurse attempts to retract the foreskin of the penis, but skin is very tight and cannot be pulled back. Based on this data, which condition does the nurse anticipate for this client?
1. Urethral stricture. 2. Paraphimosis. 3. Urethritis. 4. Phimosis.
Which does the nurse use to prevent complications of an indwelling urinary catheter?
1. Maintain tension on the tubing. 2. Keep collection bag on the bed. 3. Empty collection bag every 24 hours. 4. Clean catheter from meatus to tubing.
Teratogens are
a. additives that may adversely affect the course of a pregnancy. b. substances known to cause malformations in the unborn fetus. c. hormones known to cause malformations in the unborn fetus. d. carcinogens that may increase the risk of cancer in the fetus.