A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?

Restricts the client's ability to eat, speak, or drink

Delivers a constant rate of a specific concentration of oxygen

Delivers a high concentration of oxygen

Delivers a low concentration of oxygen

Answer and Explanation

The Correct Answer is C

A reason:

Restricting the client's ability to eat, speak, or drink is incorrect. A nasal cannula is designed to allow clients to eat, speak, and drink comfortably while receiving oxygen therapy.

B reason:

Delivering a constant rate of a specific concentration of oxygen is somewhat accurate but incomplete. The concentration can vary based on the flow rate set by the healthcare provider.

C reason:

Delivering a high concentration of oxygen is incorrect. Nasal cannulas typically provide low to moderate concentrations of oxygen, depending on the flow rate (usually 1-6 liters per minute).

D reason:

Delivering a low concentration of oxygen is correct. Nasal cannulas are used to provide supplemental oxygen at low flow rates, suitable for clients who require minimal assistance with their oxygen levels.

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Correct Answer is B

Explanation

A reason:

Assessing the pedal pulses with a Doppler device is not the appropriate next step for an irregular radial pulse. The focus should be on assessing the heart's rhythm and rate directly.

B reason:

Assessing the apical pulse for a full minute is correct. This provides a more accurate assessment of the heart rate and rhythm, especially in the case of an irregular pulse.

C reason:

Assessing the apical pulse with a Doppler device is not necessary. The apical pulse can be accurately assessed using a stethoscope.

D reason:

Assessing the pedal pulses for a full minute is not relevant in this context. The apical pulse provides more direct information about the heart's rhythm and rate.

A. Apply wrist and leg restraints to the client. B. Move the client to a room closer to the nurses' station. C. Administer medication to sedate the client. D. Call the family and ask them to stay with the client.

Correct Answer is B

Explanation

A reason:

Applying wrist and leg restraints is an extreme measure and should be used only as a last resort when all other interventions have failed. Restraints can cause physical and psychological harm and should be avoided if possible.

B reason:

Moving the client to a room closer to the nurses' station is the best option. This allows for closer monitoring and quick intervention if the client's condition worsens or if they become a danger to themselves.

C reason:

Administering medication to sedate the client is not the first action to take. Sedation can mask symptoms and lead to further complications. Non-pharmacologic interventions should be considered first.

D reason:

Calling the family and asking them to stay with the client may provide comfort and help reduce confusion, but it is not a substitute for proper medical intervention and monitoring. The priority is to ensure the client is in a safe environment where they can be closely monitored by medical staff.

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A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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