A nurse is preparing to measure a client's level of oxygen saturation and observes edema of both hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?

Finger

Skin fold

Toe

Earlobe

Answer and Explanation

The Correct Answer is D

A. Applying the pulse oximeter to a finger may not be ideal due to edema, which can affect the accuracy of the reading.

B. Using a skin fold is not a typical location for pulse oximetry and may not provide accurate readings.

C. Applying the probe to a toe may be less effective if the toenails are thickened, potentially affecting blood flow to that area and the accuracy of the reading.

D. The earlobe is a suitable alternative for measuring oxygen saturation, particularly in cases where peripheral sites (like fingers or toes) are compromised.

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Correct Answer is C

Explanation

A. Alcohol-based hand sanitizers are not effective against C. difficile spores; hand hygiene should be performed using soap and water to effectively remove the spores.

B. Testing for C. difficile typically involves stool samples, not blood specimens, making this option inappropriate for confirming the infection.

C. Placing the client on contact precautions is essential to prevent the spread of C. difficile, as it is highly contagious and can be transmitted via surfaces and direct contact.

D. A surgical mask is not necessary for clients with C. difficile unless they have respiratory symptoms; the primary concern is preventing contact transmission.

A. Remove the gloves. B. Remove the mask. C. Remove the protective eyewear D. Remove the gown.

Correct Answer is A,CD,B

Explanation

The nurse should first remove gloves to avoid contaminating other areas of the personal protective equipment. Afterward, the protective eyewear can be removed, followed by the gown, which may be contaminated, and finally, the mask should be removed last to minimize the risk of exposure to respiratory droplets.

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A nurse is preparing to measure a client's level of oxygen saturation and observes edema of both hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has manifestations of a Clostridium difficile (C. difficile) infection. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A nurse is wearing personal protective equipment and is preparing to leave a client's room after providing care. Which of the following actions should the nurse take? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Correct Answer is A,CD,B

Explanation

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