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Complications and Interventions
Complications and Interventions ( 5 Questions)
A nurse is caring for a client receiving high-flow oxygen therapy via a noninvasive positive pressure ventilation (NPPV) device. What is an important nursing intervention for this client?
Assessing the client's oxygen saturation every 4 hours is not specific to NPPV therapy and does not address the unique nursing intervention required for this intervention.
Monitoring the client's respiratory rate every 15 minutes may not be necessary for all clients receiving NPPV therapy and should be based on the client's condition and healthcare provider's orders.
NPPV devices, such as continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP), can cause dry mouth. Providing frequent oral care, such as mouth rinses and moisturizing agents, helps alleviate discomfort and prevent oral complications.
Administering oxygen at a flow rate of 1-2 L/min is not appropriate for NPPV therapy, which delivers a higher flow of pressurized air to support ventilation.
Answer: c. Providing frequent oral care to prevent dry mouth.
Explanation: NPPV devices, such as continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP), can cause dry mouth. Providing frequent oral care, such as mouth rinses and moisturizing agents, helps alleviate discomfort and prevent oral complications.
Incorrect choices: a. Assessing the client's oxygen saturation every 4 hours is not specific to NPPV therapy and does not address the unique nursing intervention required for this intervention.
b. Monitoring the client's respiratory rate every 15 minutes may not be necessary for all clients receiving NPPV therapy and should be based on the client's condition and healthcare provider's orders.
d. Administering oxygen at a flow rate of 1-2 L/min is not appropriate for NPPV therapy, which delivers a higher flow of pressurized air to support ventilation.