The patient provides three positive responses to items on the CAGE (Cut down, Annoyed, Guilty, Eye-opener) query.
What interpretation should the nurse provide to the patient?

Choice A rationale
While it’s important to honor commitments, it’s also crucial to recognize when the caregiving role becomes too stressful or burdensome. Insisting on keeping a promise despite significant stress can lead to caregiver burnout.
Choice B rationale

This statement is not accurate. Moving a loved one into a care facility is sometimes the best decision for both the caregiver and the care recipient. It does not reflect a lack of love, but rather a recognition of the need for professional help.
Choice C rationale
This statement is not accurate. Caring for an adult, especially one with health issues, can be more challenging than raising a child in many ways.
Choice D rationale
Involving the care recipient in the decision-making process can help maintain their autonomy and dignity. It can also make the caregiving process more manageable.
Choice E rationale
It’s normal to have mixed feelings about a loved one for whom you’re providing care. Acknowledging these feelings can be an important step in managing caregiver stress.
Choice F rationale
This statement is not accurate. Setting boundaries is an important part of self-care and can help prevent caregiver burnout.
Choice G rationale
This statement is not accurate. Setting boundaries is an important part of self-care and can help prevent caregiver burnout.

Management of respiratory distress in a long-term smoker requires knowledge of oxygen delivery systems and airway humidification. The nurse must apply principles of respiratory therapy to select equipment that ensures precise flow regulation and moisture addition to prevent mucosal drying during supplemental oxygen administration.

Choice A rationale: Lamb’s wool is occasionally used to protect skin from pressure sores caused by medical tubing. However, it is not a standard or essential component for initiating oxygen therapy, as modern medical-grade foam dressings or specialized tubing protectors are more commonly utilized in clinical practice.

Choice B rationale: Sterile water is essential for the humidification process when oxygen flow rates exceed 4 liters per minute. It serves as the reservoir liquid in the humidifier bottle to ensure the inhaled gas is moist, preventing the drying of sensitive respiratory mucosa and secretions.

Choice C rationale: Tape is generally avoided when securing nasal cannulas because it can cause skin irritation or breakdown on the face. The cannula is designed to be secured using the integrated sliding bolo or by looping the flexible tubing comfortably behind the patient's ears.

Choice D rationale: A suction canister is used for removing secretions from the oropharynx or trachea. While it may be present at the bedside for safety, it is not a functional component of the oxygen delivery system itself, which focuses on gas inhalation rather than extraction.

Choice E rationale: A humidifier bottle is necessary to add water vapor to the dry oxygen gas provided by the wall source. Humidification is vital for patient comfort and to maintain the integrity of the mucociliary escalator, especially for patients with chronic lung irritation from smoking.

Choice F rationale: The nasal cannula is the primary interface for delivering low-to-medium concentrations of oxygen. It consists of two prongs that fit into the nares, allowing the patient to breathe supplemental oxygen while still being able to speak and consume fluids or meals.

Choice G rationale: A flowmeter is a critical device that attaches to the oxygen wall outlet to regulate the liters per minute delivered. It allows the nurse to accurately titrate the oxygen dose according to the healthcare provider's specific orders and the patient's oxygenation needs.