The nurse is caring for a client receiving oxygen therapy via a nasal cannula. Which action by the nurse is appropriate when providing oral care to the client?

Removing the nasal cannula during oral care.

Increasing the oxygen flow rate during oral care.

Applying petroleum jelly to the client's lips before oral care.

Instructing the client to breathe through the mouth during oral care.

Answer and Explanation

The Correct Answer is A

Answer: a. Removing the nasal cannula during oral care.

Explanation: To ensure effective oral care, the nurse should temporarily remove the nasal cannula while performing oral care procedures. This allows better access to the client's mouth and prevents interference with oral hygiene.

Incorrect choices: b. Increasing the oxygen flow rate during oral care is not necessary and may lead to unnecessary oxygen supplementation.

c. Applying petroleum jelly to the client's lips before oral care may be helpful for preventing dryness and chapping but is not directly related to the administration of oral care.

d. Instructing the client to breathe through the mouth during oral care is not necessary if the nasal cannula is temporarily removed to facilitate oral hygiene.

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Correct Answer is B

Explanation

Answer: b. "I will secure the oxygen tubing under furniture legs."

Explanation: Securing the oxygen tubing under furniture legs can create a potential safety hazard by causing the tubing to become twisted or pulled, disrupting the oxygen flow. It is important to educate the client about keeping the tubing free from obstructions and ensuring it is positioned safely.

Incorrect choices: a. "I should avoid smoking while using oxygen" is a correct statement, as smoking near oxygen can be extremely dangerous and increase the risk of fire.

c. "I will keep the oxygen equipment away from open flames" is a correct statement, as oxygen supports combustion and can cause a fire if exposed to open flames.

d. "I will use a water-based moisturizer for dry nasal passages" is a correct statement, as oxygen therapy can cause dryness in the nasal passages, and using a water-based moisturizer can help alleviate discomfort.

A. Regularly suctioning the tracheostomy tube. B. Assessing the client's respiratory rate every hour. C. Applying a sterile dressing over the tracheostomy site. D. Administering humidified oxygen through the tracheostomy tube.

Correct Answer is C

Explanation

Answer: c. Applying a sterile dressing over the tracheostomy site.

Explanation: Applying a sterile dressing over the tracheostomy site helps prevent infection by providing a barrier against microorganisms. It also ensures a clean environment for optimal oxygen delivery and promotes wound healing.

Incorrect choices: a. Regularly suctioning the tracheostomy tube is important for maintaining airway patency but may not directly address infection prevention or oxygen delivery.

b. Assessing the client's respiratory rate every hour is important for monitoring respiratory status but does not specifically address infection prevention or oxygen delivery.

d. Administering humidified oxygen through the tracheostomy tube may be necessary to provide moistened air to the client's lungs but does not directly address infection prevention.

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The nurse is caring for a client receiving oxygen therapy via a nasal cannula. Which action by the nurse is appropriate when providing oral care to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement by a client on oxygen therapy indicates the need for further education?

Correct Answer is B

Explanation

The nurse is caring for a client with a tracheostomy receiving oxygen therapy. Which intervention should the nurse prioritize to prevent infection and ensure proper oxygen delivery?

Correct Answer is C

Explanation

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