A nurse is providing teaching to the parents of a 1-week-old infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?

The pulse oximeter might not be accurate during times of excessive movement.

We will notify the doctor if the pulse oximeter consistently reads 100%.

We will rotate the probe of the pulse oximeter every 24 hours.

The probe of the pulse oximeter can be applied to a finger or a toe.

Answer and Explanation

The Correct Answer is C

Choice A reason: This statement is correct, as excessive movement can interfere with the accuracy of the pulse oximeter. The parents should ensure that the infant is calm and still when measuring the oxygen saturation.

Choice B reason: A pulse oximeter reading of 100% is not necessarily a cause for concern. In healthy individuals, a saturation level of 100% is achievable and does not require immediate notification to the doctor. It means that the infant's hemoglobin is fully saturated with oxygen, which is the goal of oxygen therapy. However, if you notice any issues or if the pulse oximeter consistently reads 100%, it would be a good idea to notify a healthcare professional.

Choice C reason: The probe placement does not need to be rotated every 24 hours. Once the probe is correctly positioned (usually on a finger or toe), it can remain in place for continuous monitoring without needing frequent adjustments.

Choice D reason: This statement is correct, as the probe of the pulse oximeter can be applied to a finger or a toe, depending on the size and fit of the probe. The parents should make sure that the probe is not too tight or loose, and that it does not interfere with the circulation of the extremity.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: This statement is incorrect, as the child will not have normal bowel movements immediately after the initial surgery. The surgery involves removing the affected part of the colon and creating a temporary ostomy, which is an opening in the abdomen that allows stool to pass into a bag. The child will need a second surgery to reconnect the bowel and close the ostomy.

Choice B reason: This statement is incorrect, as the child will not need a feeding tube after the initial surgery. The child will be able to eat and drink normally but may need to follow a low-fiber diet to avoid constipation and bowel obstruction.

Choice C reason: This statement is incorrect, as the child will not need a urinary catheter after the initial surgery. The child will be able to urinate normally but may need to drink plenty of fluids to prevent dehydration and urinary tract infections.

Choice D reason: This statement is correct, as the child's ostomy is only temporary and will be closed in a second surgery. The parent should be glad that the child will eventually have a normal bowel function and appearance. The parent should also learn how to care for the ostomy and change the bag until the second surgery.

A. 13% weight loss B. Bulging anterior fontanel C. Bradypnea D. Capillary refill 3 seconds

Correct Answer is A

Explanation

Choice A reason: A 13% weight loss is a sign of severe dehydration in infants. Dehydration occurs when the body loses more fluid than it takes in. Acute gastroenteritis can cause vomiting and diarrhea, which can lead to fluid loss and dehydration.

Choice B reason: A bulging anterior fontanel is not a sign of dehydration, but rather a sign of increased intracranial pressure. The anterior fontanel is the soft spot on the top of the infant's head. It should be flat or slightly concave, not bulging or sunken.

Choice C reason: Bradypnea is not a sign of dehydration, but rather a sign of respiratory depression. Bradypnea is abnormally slow breathing, usually less than 12 breaths per minute in infants. Dehydration can cause tachypnea, which is abnormally fast breathing, usually more than 60 breaths per minute in infants.

Choice D reason: A capillary refill of 3 seconds is not a sign of dehydration, but rather a sign of normal perfusion. Capillary refill is the time it takes for the color to return to the nail bed after pressing on it. A normal capillary refill is less than 2 seconds. Dehydration can cause delayed capillary refill, which is more than 2 seconds.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing teaching to the parents of a 1-week-old infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?

A nurse in an emergency department is assessing a 2-year-old child who has a high fever, severe dyspnea, and is drooling. Which of the following actions is the nurse's priority?

A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?

A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?

A nurse is preparing to develop a plan of care for a school-aged child who has been hospitalized with gastroenteritis. Which of the following conditions and client findings should the nurse identify that the child has developed?

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?

A nurse in an emergency department is caring for an adult who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer?