While suctioning a client's nasopharynx, the nurse observes that the client's oxygen saturation remains at 94%, which is the same reading obtained prior to starting the procedure. Which action should the nurse take in response to this finding?
Complete the intermittent suction of the nasopharynx.
Apply an oxygen mask over the client's nose and mouth.
Reposition the pulse oximeter clip to obtain a new reading.
Stop suctioning until the pulse oximeter reading is above 95%.
The Correct Answer is A
Choice A reason: If the oxygen saturation remains stable during the procedure, it indicates that the suctioning is not adversely affecting the client's oxygenation, and the nurse can safely continue.
Choice B reason: Applying an oxygen mask is not necessary if the oxygen saturation is stable and within a safe range.
Choice C reason: Repositioning the pulse oximeter clip is only necessary if there is a concern about the accuracy of the reading, not when the reading is stable.
Choice D reason: There is no need to stop suctioning if the oxygen saturation is stable at 94%, as this is within the acceptable range for most clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
Amount (mg) ÷ Concentration (mg/mL) = Volume (mL)
Step 1: The amount of hydromorphone the patient needs is 3 mg. Step 2: The concentration of the hydromorphone solution is 4 mg/mL. Step 3: Substitute the values into the formula: 3 mg ÷ 4 mg/mL.
Step 4: Calculate the volume: 3 ÷ 4 = 0.75 mL. 0.8 rounded to the nearest tenth
Correct Answer is D
Explanation
Choice A reason: Printing the EMR from a backup server does not resolve the immediate issue of the system lockup and may not be possible if the system is down.
Choice B reason: Identifying information as a late entry is a step to take after the system issue has been resolved and does not address the current problem.
Choice C reason: Waiting for the system to be rebooted is passive and does not actively contribute to resolving the system lockup.
Choice D reason: Notifying the information services department is the first and most proactive step to take, as they are responsible for resolving technical issues with the EMR system.
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