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Week 3 BSN205
Vital Signs: Lesson 6 Post-Test
Question | Answer |
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The NAP reports to the nurse the patient's respirations are 32 and the patient is complaining of shortness of breath. What is the best action by the nurse at this time? | Assess the patient, including the pulse oximetry reading. |
Which patient is at high risk for for the pulse oximetry alarm to sound? | A patient with a continuous pulse oximetry reading of 84%. |
A patient complains of feeling excessively tired. Which statement, if made by the NAP, indicates further instruction is necessary? | "I will turn the continuous pulse oximetry alarms off at night so you can sleep." |
The NAP tells the nurse the patient's pulse oximetry is 85% on room air. What nursing action(s) should the nurse take? (Select all that apply.) | Reassess the patient’s pulse oximetry. Place the patient in the high-Fowler's position. Assess the patient's respiratory and cardiac status. |
The nurse reads the following entry in a patient's health record. The patient has an order for SpO2 every 4 hours. Based on this information, what would be the nurse's best action? 01/25/17 0800 Unable to obtain pulse oximetry reading. Attempted X2 fin | Have the NAP use a different site, such as the ear lobe, to obtain the SpO2 reading. |