A nurse is providing oxygen therapy to a client using a face mask. What is an important nursing consideration for this client?
Encouraging the client to remove the mask during meals.
Adjusting the mask to cover the client's mouth only.
Checking the client's oxygen saturation every 4 hours.
Assessing the client for skin breakdown around the mask
The Correct Answer is D
Answer: d. Assessing the client for skin breakdown around the mask.
Explanation: When using a face mask for oxygen therapy, the nurse should assess the client's skin for any signs of irritation or breakdown due to prolonged mask use. It is important to ensure proper mask fit and periodically assess the skin integrity to prevent pressure ulcers or skin breakdown.
Incorrect choices:
a. Encouraging the client to remove the mask during meals may compromise oxygen delivery and is not recommended unless otherwise specified by the healthcare provider.
b. Adjusting the mask to cover the client's mouth only may not provide adequate oxygen delivery and is not the correct technique for using a face mask.
c. Checking the client's oxygen saturation every 4 hours is a general nursing assessment and not specific to face mask oxygen therapy. The frequency of oxygen saturation monitoring should be based on the client's condition and healthcare provider's orders.
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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 B
Explanation
Answer: b. Monitoring the client for signs of oxygen toxicity.
Explanation: Oxygen toxicity can occur with prolonged exposure to high levels of oxygen. 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. Assessing the client's respiratory rate hourly is a general nursing assessment and not specific to venturi mask therapy.
c. Administering supplemental oxygen as needed is the purpose of providing oxygen therapy and is not a specific consideration for the venturi mask.
d. Ensuring the mask fits tightly over the client's nose and mouth is important for mask effectiveness but is not specific to the venturi mask.
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