A nurse is caring for a client receiving oxygen therapy through a transtracheal catheter. What is an important nursing consideration for this client?
Ensuring the catheter is placed in the client's nostrils.
Assessing the client's respiratory rate every 15 minutes.
Monitoring the oxygen flow rate continuously.
Teaching the client proper coughing and deep breathing techniques.
None
None
The Correct Answer is C
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
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.
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