A nurse is caring for a client who is using a non-rebreather mask for oxygen delivery. The nurse should identify which of the following as an indication that the equipment is functioning properly?
Air is heard escaping from around the mask.
The flow control meter dial is at the correct setting.
The attached reservoir bag is inflated.
The exhalation ports are covered during inspiration and expiration.
The Correct Answer is C
A. Air escaping from around the mask indicates a poor mask seal, which would lead to inadequate oxygen delivery and is not an indication of proper equipment function.
B. The flow control meter dial being at the correct setting ensures the appropriate flow rate of oxygen but does not directly indicate the functionality of the mask and reservoir system. C. The attached reservoir bag should be inflated with oxygen when the mask is properly connected and functioning, indicating the delivery of high-concentration oxygen to the client.
D. The non-rebreather mask should not have exhalation ports that are covered during inspiration and expiration; rather, it should allow exhaled air to escape to prevent carbon dioxide buildup within the mask.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Accountability refers to the nurse's responsibility to provide safe and competent care, including administering medications accurately and documenting appropriately.
B. Autonomy refers to the client's right to make decisions about their own care, including whether or not to take prescribed medications.
C. Veracity refers to truthfulness and honesty in communication. By providing the client with accurate information about the purpose of the medication, the nurse is demonstrating veracity. D. Justice refers to fairness and equity in the distribution of resources and treatment. While ensuring access to necessary medications is important for justice, it is not directly related to the nurse's communication about the purpose of the medication.
Correct Answer is A
Explanation
A. This response respects the client's autonomy and right to make decisions about their own healthcare. It acknowledges the client's right to refuse treatment, even if it is recommended by healthcare providers.
B. While it is important to communicate the client's wishes to the healthcare provider, the nurse should not threaten to report the client's decision without their consent. This could undermine trust between the nurse and the client.
C. While it is true that refusing treatment may have medical consequences, this statement may come across as judgmental or coercive. The nurse should provide information about the potential consequences of refusing treatment in a supportive and non-coercive manner.
D. Suggesting that the client consult with a clergyperson before making a treatment decision is not necessarily relevant to the client's medical decision-making process. It may also imply that the decision should be based on religious beliefs rather than personal values and preferences.
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