When administering oxygen therapy, which intervention should the nurse prioritize to ensure the delivery of the prescribed oxygen concentration?
Assessing the client's respiratory rate every hour.
Checking the oxygen flow rate every 4 hours.
Monitoring the client's oxygen saturation continuously.
Adjusting the oxygen mask snugly on the client's face.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.