Data collection & Reporting - NS

The nurse aide is using a pulse oximeter to check client oxygen concentration. The nurse aide should immediately report a pulse oximeter reading of:

• A. 95%

• B. 93%

• C. 88%

• D. 98%

The assessment finding that the nurse aide should report to the nurse immediately is:

• A. a respiratory rate of 32

• B. a blood pressure of 112/72

• C. a pulse of 80

• D. a temperature of 98.3 degrees F

The nurse aide will immediately notify the nurse about a client who has:

• A. requested to take a nap after lunch

• B. drunk juice and coffee but no water all day

• C. an intake of 1200 mL and an output of 200 mL

• D. asked for soup for dinner

When measuring blood pressure, the nurse aide inflates the blood pressure cuff to:

• 30 mmHg below the point where the pulse was detected

• 30 mmHg above the point where the client complains of pain

• 30 mmHg below the highest recorded blood pressure

• 30 mmHg above the point where the pulse was detected

The client drank 8 ounces of coffee and 4 ounces of juice at breakfast. The nurse aide should record the milliliter (mL) amount of liquid the client drank for breakfast as:

• 80 mL

• 12 mL

• 120 mL

• 360 mL

The client has just eaten 4 oz of strawberry gelatin for lunch. The nurse aide would record this as:

• 4 cc of gelatin

• 400 Grams of Gelatin

• 120 mL of Gelatin

• 40 mg of gelatin

The nurse aide should NOT take a rectal temperature on the client with:

• jaw fracture

• diarrhea

• ear infection

• dementia

The nurse aide is preparing to take vital signs and knows that the client's radial pulse is located:

• on the inside of the client's wrist on the thumb side

• on the top side of the client's foot

• on the inside of the client's wrist on the little finger side

• on the right or left side of the neck

When recording temperature, what else must the nurse aide record besides the actual temperature?

• The clothes worn by the client

• The client's mood

• The type of thermometer used

• The temperature in the client's room

When obtaining a stool sample, the nurse aide transfers the stool to the lab container using:

• a clean tongue blade

• an emesis basin

• a gloved finger

• a metal spoon