The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:

jaundiced

febrile

obese

dark skinned

Answer and Explanation

The Correct Answer is A

A. Jaundiced: The yellow discoloration of the skin can interfere with light absorption, affecting the accuracy of the reading.
B. Febrile: An elevated body temperature does not affect the pulse oximeter's accuracy.
C. Obese: Subcutaneous fat does not interfere with the device's light absorption or reading accuracy.
D. Dark-skinned: Higher melanin levels can affect the absorption of light, leading to less accurate readings.

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Correct Answer is C

Explanation

A) Milk the chest tube to dislodge any clots in the tubing that may be occluding it. Milking the chest tube is not recommended as it can create excessive negative pressure and damage lung tissue.
B) Notify the provider. This is not the first intervention. The nurse should assess the suction regulator and connections before notifying the provider.
C) Verify that the suction regulator is on. Lack of bubbling often indicates that the suction regulator is off or not functioning correctly. The nurse should first ensure that the regulator is turned on and properly connected.
D) Continue to monitor the client because this is an expected finding. Bubbling should be present in the suction control chamber if suction is applied; therefore, this finding requires immediate assessment.

A. The client is grasping his abdomen. B. The client is coughing. C. The client cannot speak. D. The client is hyperventilating.

Correct Answer is C

Explanation

A. The client is grasping his abdomen: Grasping the abdomen may indicate pain or cramping, not necessarily airway obstruction.
B. The client is coughing: Effective coughing suggests that the airway is partially open and the client is moving air, meaning abdominal thrusts are not required.
C. The client cannot speak: Inability to speak or cough is a sign of complete airway obstruction, indicating the need for abdominal thrusts.
D. The client is hyperventilating: Rapid breathing is not a typical sign of choking and does not warrant abdominal thrusts.

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The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about a nonrebreather mask. Which of the following instructions should the nurse include?

The nurse performing tracheostomy care will:

The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:

The nurse clarifies that the cough mechanism is stimulated when:

Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him:

A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with her hands, and cannot talk. Which of the following actions should the nurse take?

A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal with client inspiration?

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is: