Deck 25: Oxygen Therapy

Question 1

The nurse observes assistive personnel (AP) provide care. Which action should the nurse identify as appropriate?

A) Increasing the oxygen flow rate when low oxygen saturation is measured on the client
B) Initiating oxygen therapy when a client is found to be dyspneic
C) Changing the oxygen delivery from nasal cannula to face mask when the client complains of nasal discomfort
D) Replacing the client's oxygen mask when it becomes malpositioned while the client sleeps

Answer 1

D
Explanation:1. Only the nurse should determine the need for increased oxygen delivery.
2. Only the nurse should initiate therapy.
3. Only the nurse should change the delivery method of oxygen.
4. The assistive personnel (AP) can safely reposition the oxygen mask on the client's face.

Question 2

A client needs a low amount of continuous oxygen at home. Which delivery system should be anticipated for this client?

A) Cannula
B) Face mask
C) Nonrebreather mask
D) Partial rebreather mask

Answer 2

A
Explanation:1. The nasal cannula, also called nasal prongs, is the most common inexpensive low-flow device used to administer oxygen. It is easy to apply and does not interfere with the client's ability to eat or talk. It is also relatively comfortable, permits some freedom of movement, and is well tolerated by both children and adults.
2. Face mask would not be appropriate for a low amount of continuous oxygen.
3. A nonrebreather mask would not be appropriate for a low amount of continuous oxygen.
4. A partial rebreather mask would not be appropriate for a low amount of continuous oxygen.

Question 3

The nurse wants to assign a client's peak flow measurement to assistive personnel (AP). Which criterion should the nurse use to make this determination?

A) Has free time to perform another task
B) Trained to complete this measurement
C) Takes care of family members with asthma
D) Asks for something to do until the end of the shift

Answer 3

B
Explanation:1. The nurse should not assign peak flow measurement to AP who has time to complete the task.
2. Peak flow meter measurements can be assigned to AP if trained on the use of the measurement tool.
3. The nurse should not assign peak flow measurement to AP who has family members with asthma.
4. The nurse should not assign peak flow measurement to AP who asks for something to do until the end of the shift.

Question 4

The nurse is caring for a client receiving oxygen therapy. In which area of the medical record should the nurse document this therapy?

A) Kardex
B) Care plan
C) Flow sheet
D) Medication administration record