While attempting to obtain oxygen saturation readings on a ...

[Beheh]

While attempting to obtain oxygen saturation readings on a toddler, what should the nurse do?
 
  a. Place the sensor on the earlobe.
  b. Place the sensor on the bridge of the nose.
  c. Determine whether the toddler has a tape allergy.
  d. Ignore any variation between the oximeter pulse rate and the patient's apical pulse rate.

Question 2

A client has intravenous (IV) therapy for the administration of antibiotics and is stating that the IV site hurts and is swollen.
 
   Which of the following information assessed on the client indi-cates the presence of phlebitis, as opposed to infiltration? a. Intensity of the pain
  b. Warmth of integument surrounding the IV site
  c. Amount of subcutaneous edema
  d. Skin discoloration of a bruised nature

[flexer1n1]

Answer to Question 1

C
The nurse should determine whether the patient has latex allergy because disposable adhesive probes should not be used on patients with latex allergies. Earlobe and bridge of the nose sensors should not be used on infants and toddlers because of skin fragility. Oximeter pulse rate and the patient's apical pulse rate should be the same. Any difference requires re-evaluation of oximeter sensor probe placement and reassessment of pulse rates.

Answer to Question 2

B
Signs of phlebitis may include increased temperature over the vein, erythema, pain, and edema. With phlebitis, the area is warm to the touch; with infiltration, the area is cool to the touch.
The intensity of pain is not a differentiating factor between phlebitis and infiltration. Pain may occur with both.
The amount of subcutaneous edema is not a differentiating factor between phlebitis and infiltra-tion. Edema may occur with both.
Skin discoloration of a bruised nature is not the best way to differentiate phlebitis from infiltra-tion. With phlebitis, the area is typically reddened. With infiltration, the area is typically pale.

[Beheh]

Excellent

[mochi09]

TYSM