A nurse is assessing a client's pulse oximetry reading and notices that the waveform is irregular and inconsistent. What action should the nurse take?

Document the finding as a normal variation.

Reapply the pulse oximeter on a different finger.

Assess the client for signs of respiratory distress.

Notify the healthcare provider of the irregular waveform. Answer: b. Reapply the pulse oximeter on a different finger.

Answer and Explanation

The Correct Answer is B

indicate poor sensor placement or a faulty pulse oximeter. The nurse should reapply the pulse oximeter on a different finger to obtain an accurate reading.

a. An irregular waveform is not a normal variation and should be investigated further.

c. Assessing the client for signs of respiratory distress is important but may not directly address the irregular waveform.

d. Notifying the healthcare provider may be necessary if the issue persists after reapplying the pulse oximeter.

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Correct Answer is D

Explanation

Answer: d. 86%

Explanation: An oxygen saturation level of 86% indicates severe hypoxemia and requires immediate intervention to ensure adequate oxygenation.

a. Oxygen saturation levels of 95% are within the normal range and do not require immediate intervention.

b. Oxygen saturation levels of 92% are relatively low but may not require immediate intervention depending on the client's clinical condition.

c. Oxygen saturation levels of 89% indicate significant hypoxemia and require intervention, but immediate intervention is required at a level of 86%.

A. Insert the thermometer into the rectum for accurate measurement. B. Place the thermometer in the client's axilla and secure with a towel. C. Swipe the thermometer gently across the client's forehead. D. Hold the thermometer under the client's tongue for 30 seconds.

Correct Answer is C

Explanation

Answer: c. Swipe the thermometer gently across the client's forehead.

Explanation: Temporal artery thermometers are used by swiping the thermometer gently across the client's forehead. The device measures the temperature of the temporal artery, which correlates with core body temperature.

a. Inserting the thermometer into the rectum is not the appropriate method for using a temporal artery thermometer.

b. Placing the thermometer in the axilla is appropriate for axillary temperature measurement but not for temporal artery thermometers.

d. Holding the thermometer under the tongue is appropriate for oral temperature measurement but not for temporal artery thermometers.

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A nurse is assessing a client's pulse oximetry reading and notices that the waveform is irregular and inconsistent. What action should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's oxygen saturation level using a pulse oximeter. Which oxygen saturation level indicates the need for immediate intervention?

Correct Answer is D

Explanation

A nurse is assessing a client's body temperature using a temporal artery thermometer. How should the nurse use the temporal artery thermometer?

Correct Answer is C

Explanation

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