The nurse is preparing to place the pulse oximeter sensor on the ...

[Capo]

The nurse is preparing to place the pulse oximeter sensor on the client. For which clients would the nurse use the earlobe to monitor pulse oximetry? Select all that apply.
 
  1. The client's body mass index is 33.
  2. The client has been diagnosed with an evolving myocardial infarction.
  3. The client is wearing dark nail polish.
  4. The client is 82 years old.
  5. The client has thickened nails.

Question 2

During the physical assessment, the hospitalized client states, I've been under an incredible amount of stress since my healthcare provider diagnosed me with colon cancer 2 days ago.
 
  Which assessment data collected by the nurse are associated with increased stress?
  Select all that apply.
  1. Apical heart rate is 104 beats per minute.
  2. Respiratory rate is 16 breaths per minute.
  3. Pupils were equal, dilated, and round.
  4. Client is hypoglycemic.
  5. Blood pressure is 158/94.

[morrie123456]

Answer to Question 1

Correct Answer: 1, 2, 3, 5
The client who has a body mass index of 33 is considered to be obese. The nurse should place the pulse oximeter sensor on this client's earlobe because this is the best way to gain information about an obese client's oxygen saturation level. The nurse should place the pulse oximeter sensor on the earlobe of a client with a vascular disease. The nurse will not be able to get an accurate reading of the client's oxygen saturation level if the client is wearing dark nail polish. The nurse should place the pulse oximeter sensor on the earlobe of this client. The nurse will not be able to get an accurate reading of the client's oxygen saturation level if the client has thickened nails. The nurse should place the pulse oximeter sensor on the earlobe of this client. The nurse does not necessarily need to place the pulse oximeter sensor on the older client's earlobe.

Answer to Question 2

Correct Answer: 1, 3, 5
When the client is experiencing increased levels of stress, the apical heart rate increases. The client with increased levels of stress will have an increased respiratory rate. The client who is experiencing increased levels of stress may exhibit dilated pupils. The client with increased levels of stress will have an increased serum glucose level. The client who is experiencing increased levels of stress may have an increased blood pressure.

[Capo]

Excellent

[nanny]

Gracias!