What is the most appropriate oxygen delivery device for a client with thick secretions, dry mucous membranes, or upper airway edema?

Nasal cannula.

Simple face mask.

Partial rebreather mask.

Aerosol mask.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Nasal cannula delivers low to moderate concentrations of oxygen and may not be effective for a client with thick secretions, dry mucous membranes, or upper airway edema. Additionally, the nasal cannula may not provide sufficient humidification to alleviate these conditions.

Choice B rationale:

The simple face mask is not ideal for a client with thick secretions, dry mucous membranes, or upper airway edema as it may not provide enough humidification and could be uncomfortable for the patient.

Choice C rationale:

A partial rebreather mask also may not be the most appropriate choice for this client as it has a reservoir bag that may not adequately humidify the oxygen, leading to discomfort and potential worsening of dry mucous membranes.

Choice D rationale:

The aerosol mask is the most appropriate choice because it delivers humidified oxygen in the form of small aerosol particles, which can help alleviate thick secretions, moisturize dry mucous membranes, and reduce upper airway edema. This mask is beneficial for patients who require higher humidity levels to maintain airway patency and comfort.

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Correct Answer is A

Explanation

Keep the reservoir bag fully inflated at all times.

Choice A rationale:

In a partial rebreather mask, the reservoir bag should be kept fully inflated at all times to ensure the delivery of the highest possible oxygen concentration during inspiration. The bag collects oxygen during expiration, and the one-way valve prevents the exhaled gases from entering the bag. This way, the patient can inhale a mixture of oxygen from the reservoir and fresh oxygen flow.

Choice B rationale:

Breathing through the mouth and exhaling through the nose is not a necessary instruction for a patient using a partial rebreather mask. It doesn't directly impact the effectiveness of oxygen delivery.

Choice C rationale:

Adjusting the elastic strap to fit snugly around the face is not specific to ensuring effective oxygen delivery. It is a general guideline for mask fitting but doesn't directly affect oxygen administration.

Choice D rationale:

Removing the mask every 15 minutes to check the skin is not necessary and can disrupt the delivery of oxygen therapy. It's essential to maintain a consistent oxygen supply to the patient's lungs, and removing the mask frequently can compromise that. Checking the skin can be done periodically without removing the mask completely.

A. Apply petroleum jelly to the nares. B. Increase the flow rate of oxygen. C. Change the nasal cannula to a face mask. D. Connect the device to a humidifier.

Correct Answer is D

Explanation

Choice D rationale:

The nurse should connect the nasal cannula to a humidifier first. Dry and irritated nares are common side effects of oxygen therapy via nasal cannula, and using a humidifier adds moisture to the oxygen, reducing irritation and discomfort for the patient.

Choice A rationale:

Applying petroleum jelly to the nares is not the first action to take. It might provide temporary relief, but it is essential to address the root cause of dryness, which is the lack of moisture in the oxygen delivered.

Choice B rationale:

Increasing the flow rate of oxygen is not the first step because it may not address the dryness issue. It can lead to a higher concentration of oxygen, but it won't solve the problem of dry and irritated nares.

Choice C rationale:

Changing the nasal cannula to a face mask is not necessary to address the dryness. Face masks may not be well-tolerated by some patients, and it's better to try less invasive interventions first.

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What is the most appropriate oxygen delivery device for a client with thick secretions, dry mucous membranes, or upper airway edema?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who is receiving oxygen therapy via partial rebreather mask at 10 L/min. The nurse should instruct the patient to do which of the following to ensure effective oxygen delivery?

Correct Answer is A

Explanation

A nurse is caring for a patient who is receiving oxygen therapy via nasal cannula. The nurse notices that the patient's nares are dry and irritated. What should the nurse do first?

Correct Answer is D

Explanation

A nurse is caring for a patient who is receiving oxygen therapy via non-rebreather mask at 15 L/min. The nurse should recognize that this device has which of the following advantages?(Select all that apply)

A client with a tracheostomy is receiving oxygen through a tracheostomy collar. What is the advantage of using a tracheostomy collar for oxygen delivery?

A nurse is assessing a patient who is receiving oxygen therapy via venturi mask. The nurse hears a hissing sound from the mask and observes that the patient's skin color is pale. What should the nurse say to the patient?

(Select all that apply): A nurse is educating a group of patients about different oxygen delivery devices. Which of the following are examples of low-flow oxygen delivery systems?

A nurse is caring for a patient who has a tracheostomy and is receiving oxygen therapy via tracheostomy collar at 40% FiO2. The nurse should ensure that which of the following is in place to prevent complications?

(Select all that apply) A nurse is preparing to administer oxygen therapy to a client who has COPD and requires a precise concentration of oxygen. Which of the following devices should the nurse use for this client?

(Select all that apply): A client with a tracheostomy is being weaned from mechanical ventilation. Which of the following oxygen delivery devices can be used for this client?

A nurse is teaching a patient who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include? (Select all that apply.).