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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Barley contains gluten, a protein that triggers an immune reaction in people with celiac disease. This reaction damages the lining of the small intestine and prevents it from absorbing nutrients. Therefore, barley should be avoided by people with celiac disease.
Choice B reason: Wheat also contains gluten and should be avoided by people with celiac disease for the same reason as barley.
Choice C reason: Rice is a gluten-free grain and can be safely consumed by people with celiac disease. Rice is a good source of carbohydrates, fiber, and vitamins.
Choice D reason: Potatoes are also gluten-free and can be safely consumed by people with celiac disease. Potatoes are a good source of potassium, vitamin C, and starch.
Correct Answer is A
Explanation
Choice A reason: Oral rehydration solution (ORS) is the best fluid for a child with acute gastroenteritis, as it contains the optimal balance of electrolytes and glucose to prevent dehydration and restore fluid balance. ORS is recommended by the World Health Organization (WHO) and the American Academy of Pediatrics (AAP) for the management of diarrhea in children.
Choice B reason: Water is not a good fluid for a child with acute gastroenteritis, as it does not contain any electrolytes or glucose and can dilute the blood sodium level, leading to hyponatremia. Water can also increase the osmotic load in the intestines and worsen diarrhea.
Choice C reason: Broth is not a good fluid for a child with acute gastroenteritis, as it is high in sodium and can cause hypernatremia and dehydration. Broth can also irritate the intestinal mucosa and increase diarrhea.
Choice D reason: Diluted apple juice is not a good fluid for a child with acute gastroenteritis, as it is high in fructose and can cause osmotic diarrhea. Apple juice can also lower the blood pH and cause metabolic acidosis.
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