A client asks a nurse, “Why do I have to remove my nail polish in order for my pulse oximetry to be monitored?” Which is the best response by the nurse?

“I need to be able to assess the color of your nailbed.”.

“Nail polish can interfere with the transmission of light waves.”.

“The sensor may react with the nail polish causing an allergic reaction.”.

“The chemicals in the nail polish can cause falsely decreased readings of your oxygen level.”.

Answer and Explanation

The Correct Answer is B

Pulse oximetry works by measuring the amount of light that passes through your finger and reaches a sensor on the other side.

The amount of light that is absorbed by your blood depends on how much oxygen it carries. Nail polish can block or reflect some of the light, making it harder for the pulse oximeter to get an accurate reading of your oxygen level.

Choice A is wrong because the color of your nailbed is not relevant for pulse oximetry.

The pulse oximeter does not measure the color of your nailbed, but the amount of light that passes through it.

Choice C is wrong because the sensor does not react with the nail polish causing an allergic reaction.

The sensor is a non-invasive device that does not touch your skin or nail polish directly.

Choice D is wrong because the chemicals in the nail polish do not cause falsely decreased readings of your oxygen level.

The chemicals in the nail polish do not affect the amount of oxygen in your blood, but only the amount of light that reaches the sensor.

Normal ranges for pulse oximetry vary depending on your health condition and altitude, but generally they are between 95% and 100%. If your pulse oximetry reading is lower than 90%, you may have hypoxia, which means your tissues are not getting enough oxygen.

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Correct Answer is B

Explanation

“I apologize for not hearing you say that. Is there a better day for you?”.

This response shows empathy and respect for the client’s feelings and preferences.

It also invites the client to collaborate on finding a solution that works for both parties. Choice A is wrong because it is rude and defensive.

It does not acknowledge the client’s frustration or offer any alternatives. Choice C is wrong because it is dismissive and paternalistic.

It does not respect the client’s autonomy or consider the client’s reasons for not being able to come back on Friday.

Choice D is wrong because it is persuasive and manipulative.

It does not address the client’s concerns or explore other options.

The nurse-client relationship is based on trust, respect, and collaboration.

The nurse should use therapeutic communication skills to maintain a positive rapport with the client and promote their health and well-being.

A. The daughter will make all of the client’s health care decisions. B. No extraordinary means, such as cardiopulmonary resuscitation, will be initiated. C. The directive takes effect only if the client is incapable of personally making health care decisions. D. The closest relative, such as the spouse, must still be consulted before the daughter in making health care decisions.

Correct Answer is C

Explanation

The directive takes effect only if the client is incapable of personally making health care decisions. This statement demonstrates an understanding of health care proxy and care because it reflects the definition of a health care proxy as a person who can make health care decisions for the client only when the client is unable to communicate these themselves.

Choice A is wrong because the daughter does not have the authority to make all of the client’s health care decisions, only those that the client has not specified in advance or that are not covered by the living will.

Choice B is wrong because no extraordinary means, such as cardiopulmonary resuscitation, will be initiated only if the client has expressed this preference in a living will or a do-not-resuscitate order.

Choice D is wrong because the closest relative, such as the spouse, does not have to be consulted before the daughter in making health care decisions, unless the client has designated them as an alternate proxy.

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A client asks a nurse, “Why do I have to remove my nail polish in order for my pulse oximetry to be monitored?” Which is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client in the clinic states, “I already told you I can’t come back on Friday.” Which response by a nurse would be likely to repair the client-nurse relationship?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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