A nurse is caring for a client receiving oxygen therapy via a non-rebreather mask. What is an important nursing intervention for this client?
Ensuring the reservoir bag remains inflated at all times.
Adjusting the oxygen flow rate based on the client's preference.
Checking the client's oxygen saturation every 2 hours.
Encouraging the client to remove the mask during meals.
The Correct Answer is A
Answer: a. Ensuring the reservoir bag remains inflated at all times.
Explanation: The nurse should ensure that the reservoir bag attached to the non-rebreather mask remains inflated at all times. The inflated bag provides a reservoir of oxygen and ensures a high concentration of oxygen is delivered to the client during inhalation.
Incorrect choices: b. Adjusting the oxygen flow rate based on the client's preference is not appropriate without healthcare provider orders. The flow rate should be prescribed based on the client's oxygen needs.
c. Checking the client's oxygen saturation every 2 hours may not be necessary for all clients receiving oxygen therapy via a non-rebreather mask. The frequency of oxygen saturation monitoring should be based on the client's condition and healthcare provider's orders.
d. Encouraging the client to remove the mask during meals is not recommended unless otherwise specified by the healthcare provider. Removing the mask during meals may compromise oxygen delivery and should be avoided.
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Related Questions
Correct Answer is A
Explanation
Answer: a. Dry nasal passages
Explanation: Prolonged use of a nasal cannula can lead to dryness and discomfort in the nasal passages due to the direct flow of oxygen. The nurse should provide humidification to prevent or alleviate dryness and nasal irritation.
Incorrect choices: b. Hypoventilation is not a common complication associated with the use of a nasal cannula, which is a low-flow oxygen delivery device.
c. Hyperoxygenation refers to an excessive supply of oxygen, which is not typically associated with nasal cannula use, as the flow rate is relatively low.
d. Increased risk of infection is not directly associated with nasal cannula use. However, proper infection control practices should be followed during oxygen therapy to minimize the risk of infection.
Correct Answer is A
Explanation
Answer: a. Ensuring the reservoir bag remains inflated at all times.
Explanation: The nurse should ensure that the reservoir bag attached to the non-rebreather mask remains inflated at all times. The inflated bag provides a reservoir of oxygen and ensures a high concentration of oxygen is delivered to the client during inhalation.
Incorrect choices: b. Adjusting the oxygen flow rate based on the client's preference is not appropriate without healthcare provider orders. The flow rate should be prescribed based on the client's oxygen needs.
c. Checking the client's oxygen saturation every 2 hours may not be necessary for all clients receiving oxygen therapy via a non-rebreather mask. The frequency of oxygen saturation monitoring should be based on the client's condition and healthcare provider's orders.
d. Encouraging the client to remove the mask during meals is not recommended unless otherwise specified by the healthcare provider. Removing the mask during meals may compromise oxygen delivery and should be avoided.
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