A client is wearing a Venturi mask to deliver oxygen and the dinner tray has arrived. What action by the nurse is best?

Assess the client’s oxygen saturation and, if normal, turn off the oxygen.

Have the client lift the mask off the face when taking bites of food.

Turn the oxygen off while the client eats the meal and then restart it.

Determine if the client can switch to a nasal cannula during the meal

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Assess the client’s oxygen saturation and, if normal, turn off the oxygen. This option is not ideal because turning off the oxygen completely can lead to a rapid drop in oxygen saturation levels, especially in patients who require continuous oxygen therapy. Monitoring oxygen saturation is crucial, but turning off the oxygen is not recommended unless specifically advised by a healthcare provider. Normal oxygen saturation levels typically range from 95% to 100%1. If the levels drop below 90%, it can lead to hypoxemia, which can cause serious complications.

Choice B Reason:

Have the client lift the mask off the face when taking bites of food. This option is also not ideal because it can be cumbersome for the client and may lead to inconsistent oxygen delivery. The Venturi mask is designed to provide a precise concentration of oxygen, and lifting it off repeatedly can disrupt this consistency. Additionally, it can be uncomfortable and impractical for the client to manage the mask while eating.

Choice C Reason:

Turn the oxygen off while the client eats the meal and then restart it. This option is not recommended for similar reasons as Choice A. Turning off the oxygen can lead to a significant drop in oxygen saturation levels, which can be dangerous for the client. Continuous oxygen therapy is essential for maintaining adequate oxygen levels in patients who require it. Interrupting this therapy, even temporarily, can have adverse effects on the client’s health.

Choice D Reason:

Determine if the client can switch to a nasal cannula during the meal. This is the best option because a nasal cannula allows the client to receive continuous oxygen while eating. The nasal cannula is less obtrusive and more comfortable for the client, enabling them to eat without significant interruption to their oxygen therapy. Nasal cannulas are commonly used for patients who need supplemental oxygen but also need to perform activities such as eating and talking. This approach ensures that the client maintains adequate oxygen levels while having their meal.

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Correct Answer is ["B","C","E"]

Explanation

Choice A Reason:

Excessive salivation, also known as water brash, can occur in some cases of GERD, but it is not one of the most common symptoms. Water brash happens when the body produces extra saliva to neutralize the acid in the esophagus. While it can be associated with GERD, it is not as prevalent as other symptoms like heartburn or regurgitation.

Choice B Reason:

Dyspepsia, or indigestion, is a common symptom of GERD. It includes discomfort or pain in the upper abdomen, bloating, and nausea. Dyspepsia occurs because the stomach acid irritates the lining of the esophagus and stomach, leading to these uncomfortable sensations. Therefore, dyspepsia is a typical finding in patients with GERD.

Choice C Reason:

Regurgitation is a hallmark symptom of GERD. It involves the backflow of stomach contents into the esophagus and sometimes into the mouth, causing a sour or bitter taste. This symptom is due to the weakening or relaxation of the lower esophageal sphincter, which allows stomach acid to escape into the esophagus.

Choice D Reason:

Blood-tinged sputum is not a common symptom of GERD. While severe cases of GERD can lead to complications such as esophagitis or esophageal ulcers, which might cause bleeding, this is not typical in most GERD cases. Blood-tinged sputum would warrant further investigation to rule out other conditions such as infections or malignancies.

Choice E Reason:

Flatulence, or excessive gas, can be associated with GERD. The digestive process can be affected by the reflux of stomach acid, leading to increased gas production and bloating. While not as prominent as dyspepsia or regurgitation, flatulence can still be a symptom experienced by patients with GERD.

A. 1 cup of milk B. 1/2 cup of regular ice cream C. 1 slice of bread D. 1 cup of sugar-free yogurt

Correct Answer is A

Explanation

The correct answer is a) 1 cup of milk.

Choice A reason: One cup of milk contains approximately 15 grams of carbohydrates. Milk is a good source of carbohydrates, protein, and calcium, making it a suitable option for maintaining blood glucose levels during exercise. It is important for individuals with diabetes to monitor their carbohydrate intake to manage their blood sugar levels effectively.

Choice B reason: Half a cup of regular ice cream contains around 15 grams of carbohydrates. However, ice cream also contains high levels of sugar and fat, which may not be the healthiest option for regular consumption, especially for individuals with diabetes. While it can be included occasionally, it is better to choose healthier carbohydrate sources.

Choice C reason: One slice of bread typically contains about 15 grams of carbohydrates. Bread, especially whole grain or whole wheat varieties, can be a good source of carbohydrates for individuals with diabetes. It provides fiber, which helps in maintaining stable blood sugar levels.

Choice D reason: One cup of sugar-free yogurt does not contain 15 grams of carbohydrates. Sugar-free yogurt usually has fewer carbohydrates compared to regular yogurt. It is important to read the nutritional labels to determine the exact carbohydrate content. Regular yogurt, on the other hand, can be a good source of carbohydrates.

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A client is wearing a Venturi mask to deliver oxygen and the dinner tray has arrived. What action by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","C","E"]

Explanation

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Correct Answer is A

Explanation

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