A nurse is assessing a client receiving oxygen therapy via a non-rebreather mask. What should the nurse do to ensure the mask is functioning effectively?
Ensure the reservoir bag is fully deflated during inhalation.
Adjust the oxygen flow rate to the highest setting.
Inflate the reservoir bag prior to inhalation.
Remove the one-way valve from the mask.
The Correct Answer is C
Answer: c. Inflate the reservoir bag prior to inhalation.
Explanation: The reservoir bag of a non-rebreather mask should be inflated to ensure an adequate oxygen supply during inhalation. The inflated bag provides a reservoir of oxygen-rich air that is delivered during each breath.
Incorrect choices:
a. Ensuring the reservoir bag is fully deflated during inhalation would limit the amount of oxygen available for the client.
b. Adjusting the oxygen flow rate to the highest setting may lead to excessive oxygen concentrations and is not necessary for effective mask functioning.
d. Removing the one-way valve from the mask would compromise the integrity of the non-rebreather system and prevent effective oxygen delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer: b. Monitoring the client for signs of oxygen toxicity.
Explanation: Oxygen toxicity can occur with prolonged exposure to high levels of oxygen. The nurse should closely monitor the client for signs of oxygen toxicity, such as substernal pain, respiratory distress, and changes in mental status.
Incorrect choices: a. Assessing the client's respiratory rate hourly is a general nursing assessment and not specific to venturi mask therapy.
c. Administering supplemental oxygen as needed is the purpose of providing oxygen therapy and is not a specific consideration for the venturi mask.
d. Ensuring the mask fits tightly over the client's nose and mouth is important for mask effectiveness but is not specific to the venturi mask.
Correct Answer is C
Explanation
c. The nurse should closely monitor the client for signs of oxygen toxicity, such as substernal pain, respiratory distress, and changes in mental status.
Incorrect choices:
a. Ensuring the catheter is placed in the client's nostrils is incorrect as a transtracheal catheter is inserted directly into the trachea, bypassing the nose.
b. Assessing the client's respiratory rate every 15 minutes is too frequent for routine assessment and may disrupt the client's care.
d. While teaching coughing and deep breathing techniques can be important for clients with respiratory issues, it is not the most immediate or critical nursing consideration for clients using a transtracheal catheter.
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.