A nurse is providing oxygen therapy to a client using a face mask. What is an important nursing consideration for this client?
Encouraging the client to remove the mask during meals.
Adjusting the mask to cover the client's mouth only.
Checking the client's oxygen saturation every 4 hours.
Assessing the client for skin breakdown around the mask
The Correct Answer is D
Answer: d. Assessing the client for skin breakdown around the mask.
Explanation: When using a face mask for oxygen therapy, the nurse should assess the client's skin for any signs of irritation or breakdown due to prolonged mask use. It is important to ensure proper mask fit and periodically assess the skin integrity to prevent pressure ulcers or skin breakdown.
Incorrect choices:
a. Encouraging the client to remove the mask during meals may compromise oxygen delivery and is not recommended unless otherwise specified by the healthcare provider.
b. Adjusting the mask to cover the client's mouth only may not provide adequate oxygen delivery and is not the correct technique for using a face mask.
c. Checking the client's oxygen saturation every 4 hours is a general nursing assessment and not specific to face mask oxygen therapy. The frequency of oxygen saturation monitoring should be based on the client's condition and healthcare provider's orders.
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Correct Answer is D
Explanation
Answer: d. Assessing the client for skin breakdown around the mask.
Explanation: When using a face mask for oxygen therapy, the nurse should assess the client's skin for any signs of irritation or breakdown due to prolonged mask use. It is important to ensure proper mask fit and periodically assess the skin integrity to prevent pressure ulcers or skin breakdown.
Incorrect choices:
a. Encouraging the client to remove the mask during meals may compromise oxygen delivery and is not recommended unless otherwise specified by the healthcare provider.
b. Adjusting the mask to cover the client's mouth only may not provide adequate oxygen delivery and is not the correct technique for using a face mask.
c. Checking the client's oxygen saturation every 4 hours is a general nursing assessment and not specific to face mask oxygen therapy. The frequency of oxygen saturation monitoring should be based on the client's condition and healthcare provider's orders.
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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