The nurse is caring for a client receiving oxygen therapy via a Venturi mask. Which assessment finding indicates the need for adjustment of the oxygen flow rate?

Oxygen saturation of 98%.

Respiratory rate of 16 breaths per minute.

Client reporting nasal dryness and discomfort.

Oxygen flow rate set at 4 L/min.

Answer and Explanation

The Correct Answer is C

Answer: c. Client reporting nasal dryness and discomfort.

Explanation: The client reporting nasal dryness and discomfort indicates inadequate humidification of the oxygen. The nurse should assess and adjust the oxygen flow rate or consider providing humidified oxygen to alleviate the client's discomfort.

Incorrect choices: a. An oxygen saturation of 98% indicates adequate oxygenation and does not necessitate an adjustment in the oxygen flow rate.

b. A respiratory rate of 16 breaths per minute within the normal range does not indicate a need for adjustment of the oxygen flow rate.

d. An oxygen flow rate set at 4 L/min may be appropriate for a Venturi mask, depending on the prescribed oxygen concentration and the client's needs.

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Correct Answer is C

Explanation

Answer: c. Monitoring the client's oxygen saturation continuously.

Explanation: Continuous monitoring of the client's oxygen saturation allows the nurse to assess the effectiveness of oxygen therapy and ensure the prescribed oxygen concentration is being delivered. It helps in making timely adjustments to the oxygen therapy to maintain adequate oxygenation.

Incorrect choices: a. Assessing the client's respiratory rate every hour is important but does not directly ensure the delivery of the prescribed oxygen concentration.

b. Checking the oxygen flow rate every 4 hours is important for monitoring equipment functionality but does not directly ensure the delivery of the prescribed oxygen concentration.

d. Adjusting the oxygen mask snugly on the client's face is important for proper fit and oxygen delivery, but it does not directly ensure the delivery of the prescribed oxygen concentration.

A. Adjusting the face tent to fit snugly around the client's face. B. Ensuring the client breathes through the nose during oxygen therapy. C. Frequently checking for condensation inside the face tent. D. Monitoring the client's oxygen saturation every 8 hours.

Correct Answer is C

Explanation

Answer: c. Frequently checking for condensation inside the face tent.

Explanation: Checking for condensation inside the face tent is important to ensure that the oxygen is effectively delivered to the client. Condensation can obstruct the flow ofoxygen and reduce its effectiveness. The nurse should frequently check for condensation and take appropriate measures to maintain proper oxygen delivery.

Incorrect choices: a. Adjusting the face tent to fit snugly around the client's face may cause discomfort and impede proper oxygen delivery. The face tent should be loosely fitted to allow adequate airflow.

b. Ensuring the client breathes through the nose during oxygen therapy is not necessary with a face tent, as it covers both the nose and mouth, allowing the client to breathe through either.

d. Monitoring the client's oxygen saturation every 8 hours is not frequent enough for clients receiving oxygen therapy. Continuous or regular monitoring is typically necessary to assess the effectiveness of oxygen therapy and adjust as needed.

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The nurse is caring for a client receiving oxygen therapy via a Venturi mask. Which assessment finding indicates the need for adjustment of the oxygen flow rate?

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Naxlex Comprehensive Predictor Exams

When administering oxygen therapy, which intervention should the nurse prioritize to ensure the delivery of the prescribed oxygen concentration?

Correct Answer is C

Explanation

The nurse is caring for a client receiving oxygen therapy via a face tent. Which action by the nurse is important to ensure proper oxygen delivery?

Correct Answer is C

Explanation

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