When administering oxygen therapy, which intervention should the nurse prioritize to ensure the delivery of the prescribed oxygen concentration?
Assessing the client's respiratory rate every hour.
Checking the oxygen flow rate every 4 hours.
Monitoring the client's oxygen saturation continuously.
Adjusting the oxygen mask snugly on the client's face.
The Correct Answer is C
Answer: c. Monitoring the client's oxygen saturation continuously.
Explanation: Continuous monitoring of the client's oxygen saturation allows the nurse to assess the effectiveness of oxygen therapy and ensure the prescribed oxygen concentration is being delivered. It helps in making timely adjustments to the oxygen therapy to maintain adequate oxygenation.
Incorrect choices: a. Assessing the client's respiratory rate every hour is important but does not directly ensure the delivery of the prescribed oxygen concentration.
b. Checking the oxygen flow rate every 4 hours is important for monitoring equipment functionality but does not directly ensure the delivery of the prescribed oxygen concentration.
d. Adjusting the oxygen mask snugly on the client's face is important for proper fit and oxygen delivery, but it does not directly ensure the delivery of the prescribed oxygen concentration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer: b. Disconnect the tubing and drain the condensation.
Explanation: Condensation in the oxygen tubing can impede the flow of oxygen and reduce the effectiveness of oxygen therapy. The nurse should disconnect the tubing and drain the condensation before reconnecting and continuing oxygen therapy.
Incorrect choices: a. Increasing the oxygen flow rate does not address the issue of condensation and may lead to unnecessary oxygen supplementation.
c. Replacing the oxygen tubing with a new one immediately may not be necessary if the condensation can be resolved by draining it.
d. Placing a heat-moisture exchanger (HME) on the oxygen tubing is not necessary for managing condensation but can be used to provide humidification for clients receiving high-flow oxygen therapy.
Correct Answer is C
Explanation
Answer: c. Client reporting nasal dryness and discomfort.
Explanation: The client reporting nasal dryness and discomfort indicates inadequate humidification of the oxygen. The nurse should assess and adjust the oxygen flow rate or consider providing humidified oxygen to alleviate the client's discomfort.
Incorrect choices: a. An oxygen saturation of 98% indicates adequate oxygenation and does not necessitate an adjustment in the oxygen flow rate.
b. A respiratory rate of 16 breaths per minute within the normal range does not indicate a need for adjustment of the oxygen flow rate.
d. An oxygen flow rate set at 4 L/min may be appropriate for a Venturi mask, depending on the prescribed oxygen concentration and the client's needs.
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.