A nurse is caring for a client receiving oxygen therapy through a transtracheal catheter. What is an important nursing consideration for this client?
Ensuring the catheter is placed in the client's nostrils.
Assessing the client's respiratory rate every 15 minutes.
Monitoring the oxygen flow rate continuously.
Teaching the client proper coughing and deep breathing techniques.
None
None
The Correct Answer is C
c. The nurse should closely monitor the client for signs of oxygen toxicity, such as substernal pain, respiratory distress, and changes in mental status.
Incorrect choices:
a. Ensuring the catheter is placed in the client's nostrils is incorrect as a transtracheal catheter is inserted directly into the trachea, bypassing the nose.
b. Assessing the client's respiratory rate every 15 minutes is too frequent for routine assessment and may disrupt the client's care.
d. While teaching coughing and deep breathing techniques can be important for clients with respiratory issues, it is not the most immediate or critical nursing consideration for clients using a transtracheal catheter.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer: d. Administering humidified oxygen through the cannula
Explanation: Humidified oxygen should be administered through a nasal cannula to prevent drying of the nasal passages and promote client comfort. It is important for the nurse to ensure the oxygen is properly humidified to prevent mucosal irritation.
Incorrect choices:
a. Securing the cannula tightly around the client's head may cause discomfort and impede circulation.
b. Placing the cannula in the client's mouth is not the correct placement for a nasal cannula.
c. Assessing the client's skin behind the ears for pressure ulcers is important when using devices that apply pressure, such as oxygen masks or headgear, but not specific to the nasal cannula.
Correct Answer is C
Explanation
c. The nurse should closely monitor the client for signs of oxygen toxicity, such as substernal pain, respiratory distress, and changes in mental status.
Incorrect choices:
a. Ensuring the catheter is placed in the client's nostrils is incorrect as a transtracheal catheter is inserted directly into the trachea, bypassing the nose.
b. Assessing the client's respiratory rate every 15 minutes is too frequent for routine assessment and may disrupt the client's care.
d. While teaching coughing and deep breathing techniques can be important for clients with respiratory issues, it is not the most immediate or critical nursing consideration for clients using a transtracheal catheter.
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