A nurse is preparing to administer oxygen therapy to a patient who has just undergone abdominal surgery. Which of the following interventions is most important to ensure proper oxygenation?

Encourage the patient to take deep breaths and use an incentive spirometer regularly.

Set the oxygen flow rate based on the patient's subjective feeling of breathlessness.

Administer oxygen at 6 L/min through a nasal cannula without an order.

Place the patient in a Trendelenburg position to facilitate oxygen delivery.

Answer and Explanation

The Correct Answer is A

A.   Encouraging deep breaths and using an incentive spirometer can help prevent atelectasis and improve oxygenation after surgery, as it encourages lung expansion.
B.   Setting the oxygen flow rate based on subjective breathlessness is not ideal; oxygen should be administered according to established protocols and patient need.
C.   Administering oxygen without an order is not appropriate and could lead to oxygen toxicity.
D.   The Trendelenburg position is not necessary for oxygenation and could lead to increased pressure on the abdomen and respiratory distress.

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Correct Answer is D

Explanation

A. Increasing the oxygen flow rate could worsen respiratory depression in patients with COPD, as they rely on low oxygen levels to stimulate breathing.
B. Switching to a non-rebreather mask could further elevate the oxygen levels and may lead to hypoventilation or respiratory distress.
C. Monitoring the patient closely and reassessing in 30 minutes might be appropriate if the patient shows no immediate signs of respiratory distress, but the priority is to address the decreased respiratory rate.
D. Reducing the oxygen flow rate to 1 L/min and notifying the healthcare provider is the most appropriate action, as it may reduce the risk of respiratory depression caused by excessive oxygen.

A. Administering oral corticosteroids to reduce inflammation systemically. B. Applying heat therapy to the affected area to increase blood flow. C. Wrist splinting to maintain a neutral position during sleep. D. Performing finger stretching exercises to enhance flexibility.

Correct Answer is C

Explanation

A. Oral corticosteroids may reduce inflammation but are not typically the first choice for managing carpal tunnel syndrome.
B. Heat therapy is not the most appropriate intervention, as it may worsen symptoms in some cases of carpal tunnel syndrome.
C. Wrist splinting to maintain a neutral position during sleep helps alleviate pressure on the median nerve and is a common intervention for carpal tunnel syndrome.
D. Finger stretching exercises are not typically recommended, as they may increase irritation to the nerve.

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A nurse is preparing to administer oxygen therapy to a patient who has just undergone abdominal surgery. Which of the following interventions is most important to ensure proper oxygenation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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