A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first?
Place the child in the Fowler's position.
Ensure proper placement of the sensor probe.
Increase the oxygen flow rate.
Encourage the child to take deep breaths.
The Correct Answer is B
Choice A reason: While the Fowler's position can aid in breathing, it is not the first action to take if the oxygen saturation monitor is reading low.
Choice B reason: Ensuring the proper placement of the sensor probe is the first step, as incorrect placement can lead to inaccurate readings.
Choice C reason: Increasing the oxygen flow rate should only be considered after confirming the accuracy of the oxygen saturation reading.
Choice D reason: Encouraging deep breaths may be helpful, but it is not the first action to take. The priority is to ensure the oxygen saturation reading is accurate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While the Fowler's position can aid in breathing, it is not the first action to take if the oxygen saturation monitor is reading low.
Choice B reason: Ensuring the proper placement of the sensor probe is the first step, as incorrect placement can lead to inaccurate readings.
Choice C reason: Increasing the oxygen flow rate should only be considered after confirming the accuracy of the oxygen saturation reading.
Choice D reason: Encouraging deep breaths may be helpful, but it is not the first action to take. The priority is to ensure the oxygen saturation reading is accurate.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: Applying lidocaine and prilocaine cream can help numb the area, reducing pain and discomfort during catheter insertion, which aligns with atraumatic care principles.
Choice B reason: Explaining procedures using familiar objects can help reduce anxiety and fear in children, making the experience less traumatic⁷.
Choice C reason: Allowing the child to make choices can provide a sense of control, which is important for reducing stress during medical procedures⁷.
Choice D reason: Asking parents to leave is not recommended as their presence can be comforting to the child and is part of atraumatic care.
Choice E reason: Performing the procedure in a familiar environment, such as the child's bed, can help minimize stress and fear.
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