The practical nurse (PN) learns in report that a client has a prescription for continuous humidified oxygen at 4 L/minute via a nasal cannula. Upon entering the client's room, the PN observes that the oxygen flow rate is set at 1 L/minute, there is no water in the humidifier, and there are reddened areas on the client's ears under the cannula tubing. The client has a respiratory rate of 22 breaths/minute and has dry and cracked mucous membranes. Which action should the PN take first?
Add distilled water to the humidifier.
Place padding over reddened area.
Increase the oxygen flow rate.
Instruct client to increase fluid intake.
The Correct Answer is C
A. Add distilled water to the humidifier: Necessary for moisture, but oxygen delivery must be corrected first.
B. Place padding over reddened area: Helps prevent skin breakdown but does not address oxygen needs.
C. Increase the oxygen flow rate: Priority is to restore prescribed oxygen to prevent hypoxia.
D. Instruct client to increase fluid intake: Can help with dryness but is not urgent compared to correcting oxygen flow.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Heating pad:
Contraindicated - impaired circulation increases burn risk.
B. Soft blanket:
Keeps client warm comfortably and safely as circulation slows.
C. Body lotion:
Not indicated for mottling, and may cause skin irritation.
D. Moist cloths:
Can cool the body, counterproductive in a dying client with poor circulation.
Correct Answer is C
Explanation
A. Keep head of the bed elevated at all times:
This is not specific to multiple sclerosis care and is unnecessary unless respiratory compromise is present.
B. Face the client directly when speaking:
This instruction is more relevant to clients with hearing impairment, not MS.
C. Encourage self-care but allow rest periods:
Clients with MS often experience fatigue. Encouraging independence while allowing rest prevents overexertion and conserves energy.
D. Offer to assist the client with a hot bath:
Hot baths can worsen MS symptoms by increasing body temperature, which may exacerbate fatigue and neurological symptoms.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
