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 B
Explanation
A. Encouraging active range of motion of the extremity can increase swelling and is not recommended immediately after a sprain.
B. Elevating the extremity above the level of the heart helps reduce swelling by promoting venous return.
C. Wrapping the extremity loosely with an elastic bandage provides some support but is not the most effective way to reduce swelling.
D. Applying warm compresses can increase blood flow and swelling; cold compresses are recommended during the first 24 hours.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
Continuous pulse oximetry: Anticipated because the infant has respiratory distress and requires continuous monitoring of oxygen saturation.
Chest x-ray: Anticipated to assess the extent of lung involvement due to the respiratory distress and wheezing noted.
Peripheral IV line: Anticipated since the peripheral line will be used to administer intravenous medications and fluids.
Supine position: Contraindicated because the infant prefers to sit upright and shows signs of respiratory distress, such as nasal flaring and retractions.
Small, frequent feedings: Anticipated to ensure adequate nutrition despite feeding difficulties.
Monitor intake and output: Anticipated to assess hydration status, especially since the infant has had decreased intake and output.
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