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A nurse is planning to obtain a client's oxygen saturation. Which of the following might influence the result of this test?

The client has a fever.

The client has an elevated hemoglobin level.

The client is wearing a ring.

The client is wearing nail polish.

Answer and Explanation

The Correct Answer is D

Rationale:

A. A fever may influence the result of an oxygen saturation test but is not a direct factor.

B. An elevated hemoglobin level is unlikely to influence the result of an oxygen saturation test.

C. Wearing a ring is unlikely to influence the result of an oxygen saturation test.

D. Wearing nail polish can interfere with the accuracy of pulse oximetry readings by causing an inaccurate reflection of light, leading to a falsely low oxygen saturation reading.

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Free Nursing Study Resources

Correct Answer is A,D,B,C,E

Explanation

A. Unlock and remove the inner cannula is the first step because it allows access to the inner cannula for cleaning.
B. Scrub the inside and outside of the inner cannula with a small brush is the third step because it removes debris and secretions from the inner cannula.
C. Wipe the inside of the inner cannula with a folded pipe cleaner is the fourth step because it further cleans the inner cannula.
D. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin is the second step because it provides the solution for cleaning the inner cannula.

E. Cleanse the stoma site with 0.9% sodium chloride solution is the final step because it cleans the stoma site before replacing the inner cannula.

A. Washing the client's face B. Gathering the client's personal belongings C. Closing the client's eyes D. Removing the client's dentures from their mouth

Correct Answer is D

Explanation

Rationale:

A. Washing the client's face is part of postmortem care and is appropriate.

B. Gathering the client's personal belongings is part of postmortem care and is appropriate.

C. Closing the client's eyes is part of postmortem care and is appropriate.

D. Removing the client's dentures from their mouth is not part of postmortem care and may be distressing for the family. The nurse should intervene and ensure the dentures are left in place.

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A nurse is planning to obtain a client's oxygen saturation. Which of the following might influence the result of this test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is A,D,B,C,E

Explanation

A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?

Correct Answer is D

Explanation

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