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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E"]
Explanation
Rationale:
A. These neurological findings are within normal limits and do not require immediate follow-up.
B. These musculoskeletal findings are not indicative of an emergency and can be addressed during routine care.
C. Clear lung sounds are a normal finding and do not require immediate follow-up.
D. An irregular heart rate may indicate an arrhythmia or other cardiovascular issue that requires further assessment and intervention.
E. Hyperactive bowel sounds can indicate a variety of gastrointestinal issues, including bowel obstruction or ileus, which may require immediate intervention or further investigation.
Correct Answer is C
Explanation
Rationale:
A. Providing the client with three large meals each day may be overwhelming and may not promote an increase in food intake.
B. Limiting snacks between meals may not promote an increase in food intake and may contribute to malnutrition.
C. Providing the client with finger foods for meals is a practical approach that can promote an increase in food intake and reduce the risk of malnutrition.
D. Restricting visitors during meals may not promote an increase in food intake and may contribute to social isolation.
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