A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?

Choose a finger with a capillary refill less than 2 sec.

Place the sensor probe on the same extremity as an electronic blood pressure cuﬀ.

Wait 10 sec after placing the probe before obtaining the oxygen saturation reading.

Relocate the sensor every 8 hrs.

Answer and Explanation

The Correct Answer is A

The nurse should choose a finger with good circulation, as indicated by a capillary refill time of less than 2 seconds, to obtain an accurate oxygen saturation reading.

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Correct Answer is C

Explanation

When setting up a sterile field, it is important to inspect the sterile package for holes before opening it to ensure that the contents are still sterile1. The first ﬂap of the package should be opened away from the body

A. Check the client’s heart rate for 30 seconds. B. Palpate the client’s pulse at the third intercostal space. C. Ask the client to perform the Valsalva maneuver. D. Auscultate the client’s apical pulse.

Correct Answer is D

Explanation

When caring for a client who has an irregular heart rate, the nurse should auscultate the client’s apical pulse to accurately assess their heart rate1. An electrocardiogram (ECG or EKG) may also be used to measure the timing and duration of each electrical phase in the heartbeat

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A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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