When administering oxygen via a wall-outlet system, the nursing intervention that would be necessary for a 3 L/min flow, as opposed to a 1 L/min flow, would be:
inspecting skin around the pinna for pressure injury.
humidifying the oxygen before it is delivered to the client.
providing oral hygiene whenever necessary.
attaching a flow meter to the wall outlet.
The Correct Answer is D
A. Inspecting skin around the pinna for pressure injury is not directly related to adjusting oxygen flow rates.
B. Humidifying the oxygen may be necessary for higher flow rates to prevent drying of mucous membranes, but it's not the primary intervention needed when increasing the flow rate from 1 L/min to 3 L/min.
C. Providing oral hygiene is important for oxygen therapy, but it's not specifically related to adjusting flow rates.
D. Attaching a flow meter to the wall outlet is necessary when increasing the flow rate to ensure the correct amount of oxygen is delivered to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Skin irritation is a possible side effect of nitroglycerin patches but is not a reason to remove the patch before starting an intravenous infusion.
B. Loss of the patch is not a primary concern when transitioning from a nitroglycerin patch to an intravenous infusion.
C. While interactions with other medications are possible, they are not the primary reason to remove the nitroglycerin patch.
D. Removing the old nitroglycerin patch before starting the intravenous infusion is essential to avoid the risk of drug overdose, as the patch continues to release medication even after removal.
Correct Answer is B
Explanation
A. Withholding the medication without further action could compromise the client's care and is not the best course of action.
B. Withholding the medication and reporting the refusal to the prescriber allows for further assessment and decision-making regarding the client's treatment plan.
C. Administering the medication against the client's wishes would violate her autonomy and right to refuse treatment.
D. While it's important to educate the client about the medication, insisting on its administration without the client's consent is not appropriate.
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