A nurse is assisting with the care of an infant who has an upper respiratory infection and requires continuous oxygen saturation monitoring. On which of the following sites should the nurse plan to place the sensor? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
A
B
C
The Correct Answer is A
Answer: A
Rationale: The recommended placement for a small pediatric pulse oximeter probe is around the great toe, the outer palm or the foot. This placement is non-invasive and should not cause discomfort to the child. The nurse should the apply a snuggly fitting sock to hod the sensor in place.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Checking the color and temperature of the toes helps assess for adequate circulation and potential complications like compartment syndrome.
B. Applying cushioning to the cast edges is important for comfort but is not the immediate priority.
C. Using a fan can help the cast dry faster but is not the priority action.
D. Repositioning the toddler is important to prevent pressure sores, but ensuring proper circulation takes precedence.
Correct Answer is C
Explanation
A. Capillary refill of 2 seconds is normal and does not indicate decreased cardiac output.
B. Warm extremities are a positive sign, indicating good perfusion.
C. Diminished pulses can indicate decreased cardiac output, suggesting inadequate perfusion to the extremities.
D. The blood pressure reading provided is within normal limits for a preschool-aged child and does not indicate decreased cardiac output.
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