The nurse is planning a class for unlicensed assistive personnel
Which factors should the nurse describe as causing interference with accurate pulse oximeter readings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Ambient light
2. Nail polish
3. Inhalation injuries
4. Arterial pulse deficit
5. Sensor placement on the ear
1,2,3,4
Rationale 1: Ambient light can cause inaccurate readings.
Rationale 2: Nail polish on finger- or toenails can cause inaccurate readings.
Rationale 3: Inhalation injuries can cause inaccurate readings.
Rationale 4: Inadequate arterial pulses can cause inaccurate readings.
Rationale 5: As long as the sensor is not placed on cartilage, the reading should be accurate.
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A client had a total knee replacement this morning and has a continuous passive motion (CPM) machine. What activity related to the CPM does the RN delegate to the unlicensed assistive per-sonnel?
a. Placing controls out of the reach of con-fused clients b. Assessing the client's response to the CPM c. Teaching the client's family the rationale for the CPM d. Assessing neurovascular status of the leg in the CPM
A nurse builds a vacation home in a remote area having fewer than six people per square mile so he can "get away from it all." Which of the following best describes the classification of this ar-ea?
a. Standard metropolitan statistical area b. Metropolitan county c. Frontier d. Rural area
The nurses have been instructed on the use of an evidence-based practice method to monitor patients; however, several nurses continue to conduct patient monitoring using the previous method
Which of the following can be done to increase the use of the evidence-based practice method? 1. Review the evidence-based material again with those nurses who are not using the new method. 2. Assign the nurses not using the new method to participate in gathering data for a research study. 3. Ask the nurse manager to review the performance expectations. 4. Determine that either method would be appropriate for the nurses to use.
The nurse is reviewing the laboratory test results for a patient who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?
a. Serum creatinine of 2.8 mg/dL b. Serum potassium of 4.5 mEq/L c. Serum hemoglobin of 14.7 g/dL d. Blood glucose level of 96 mg/dL