Which intervention should the nurse prioritize to promote effective airway clearance in a client with impaired oxygenation?
Providing incentive spirometry exercises
Administering bronchodilator medications
Encouraging deep breathing and coughing
Positioning the client in high Fowler's position
The Correct Answer is C
Answer: c. Encouraging deep breathing and coughing Explanation:
Deep breathing and coughing help to mobilize and clear respiratory secretions, promoting effective airway clearance and improved oxygenation.
Incorrect choices:
a. Incentive spirometry exercises help promote lung expansion but are not directly aimed at airway clearance.
b. Bronchodilator medications are primarily used to alleviate bronchospasm and improve airflow, but they may not directly address airway clearance.
d. Positioning the client in high Fowler's position facilitates lung expansion and may improve oxygenation but does not directly address airway clearance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer: b. Monitoring oxygen saturation levels Explanation:
Monitoring the client's oxygen saturation levels using a pulse oximeter is crucial to assess the effectiveness of oxygen therapy and ensure the client's oxygen needs are being met adequately.
Incorrect choices:
a. Assessing the client's respiratory rate is important but does not directly measure the adequacy of oxygen therapy.
c. Evaluating the client's level of dyspnea provides subjective information but does not quantify the client's oxygenation status.
d. Adjusting the oxygen flow rate as needed is a valid action, but monitoring oxygen saturation levels is essential to guide the adjustment accurately.
Correct Answer is B
Explanation
Answer: b. 4-6 liters per minute
Explanation: The appropriate flow rate for oxygen therapy via a nasal cannula typically ranges from 1-6 liters per minute, with 4-6 liters per minute being a common range to achieve adequate oxygenation.
Incorrect choices:
a. 1-2 liters per minute may be appropriate for clients with mild hypoxemia or during rest.
c. 8-10 liters per minute is generally too high for a nasal cannula and may not be well-tolerated by the client.
d. 12-15 liters per minute is excessively high for a nasal cannula and may be more suitable for a higher flow oxygen delivery system such as a non-rebreather mask or Venturi mask.
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