During an assessment the nurse performs the action shown in this image. What is the purpose of this action?

Measure nerve function in the fingers
Monitor oxygen status
Determine capillary refill
Assess finger range of motion
The Correct Answer is C
A. Measure nerve function in the fingers:
Measuring nerve function typically involves different assessments, such as checking sensation or performing nerve conduction studies. The action in the image is not indicative of a nerve function test.
B. Monitor oxygen status:
Monitoring oxygen status is usually done with a pulse oximeter, which is placed on the finger but does not involve the manual action shown in the image. The image depicts a manual technique, not a pulse oximetry procedure.
C. Determine capillary refill:
The action shown in the image is a technique used to determine capillary refill time. The nurse presses on the nail bed until it blanches and then releases it to see how quickly the color returns. This assesses peripheral perfusion and can indicate circulatory status.
D. Assess finger range of motion:
Assessing finger range of motion involves moving the fingers through their full range of motion, such as flexing, extending, abducting, and adducting them. The action in the image does not reflect these movements and is more indicative of assessing capillary refill.
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Related Questions
Correct Answer is C
Explanation
A. Measure nerve function in the fingers:
Measuring nerve function typically involves different assessments, such as checking sensation or performing nerve conduction studies. The action in the image is not indicative of a nerve function test.
B. Monitor oxygen status:
Monitoring oxygen status is usually done with a pulse oximeter, which is placed on the finger but does not involve the manual action shown in the image. The image depicts a manual technique, not a pulse oximetry procedure.
C. Determine capillary refill:
The action shown in the image is a technique used to determine capillary refill time. The nurse presses on the nail bed until it blanches and then releases it to see how quickly the color returns. This assesses peripheral perfusion and can indicate circulatory status.
D. Assess finger range of motion:
Assessing finger range of motion involves moving the fingers through their full range of motion, such as flexing, extending, abducting, and adducting them. The action in the image does not reflect these movements and is more indicative of assessing capillary refill.
Correct Answer is D
Explanation
A) Electrical cords are placed along the walls: While it is important to ensure that electrical cords are safely managed, cords placed along the walls are less likely to pose a tripping hazard compared to those that are left loose or run across walking paths. This setup, in itself, is generally not a significant safety risk if managed properly.
B) Handrails are present in the bathroom: Handrails in the bathroom are actually a safety feature, not a risk. They provide necessary support for older adults with decreased vision or mobility issues, helping to prevent falls when using the toilet or getting in and out of the bathtub or shower.
C) Uses a microwave for cooking: Using a microwave for cooking is generally considered safe for individuals with decreased vision, as it minimizes the risk of burns and other injuries associated with using a stove or oven. The microwave can be a safer cooking method if the client is familiar with its operation.
D) Scatter rugs are present in the kitchen: Scatter rugs are a significant safety risk, especially for older adults with decreased vision. These rugs can easily cause trips and falls, leading to potentially serious injuries. Removing scatter rugs or securing them with non-slip backing can help mitigate this risk and create a safer home environment.
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