An RN from the orthopedic unit has been floated to the medical unit. Which client assignment for the floated RN is best?
A. The client with a resolving
... [Show More] pulmonary embolus who is receiving oxygen at 6 L/min through a nasal cannula
B. The client with chronic lung disease who is being evaluated for possible home oxygen use
C. The client with a newly placed tracheostomy who is receiving oxygen through a tracheostomy collar
D. The client with chronic bronchitis who is receiving oxygen at 60% through a Venturi mask –
Orthopedic nurses are familiar with pulmonary emboli and with administration of oxygen through nasal cannulas.
-Which value indicates clinical hypoxemia and the need to increase oxygen delivery?
A. Hemoglobin of 22 g/dL
B. PaCO2 of 30 mm Hg
C. PaO2 of 65 mm Hg
D. Oxygen saturation of 88%
PaO2 of 65 mm Hg indicates low levels of oxygen in the arterial blood; this is termed hypoxemia.
-A client with COPD has a physician's prescription stating, "Adjust oxygen to SpO2 at 90% to 92%." Which nursing action can be delegated to a nursing assistant working under the supervision of an RN?
A. Adjust the position of the oxygen tubing
B. Assess for signs and symptoms of hypoventilation
C. Change the O2 flow rate to keep SpO2 as prescribed
D. Choose which O2 delivery device should be used for the client
The scope of a nursing assistant's work includes positioning of oxygen tubing for client comfort.
-A client who smokes is being discharged home on oxygen. The client states, "My lungs are already damaged, so I'm not going to quit smoking." What is the discharge nurse's best response?
A. "You can quit when you are ready."
B. "It's never too late to quit."
C. "Just turn off your oxygen when you smoke."
D. "You are right, the damage has been done. But let's talk about why smoking around oxygen is dangerous."
This is a great opening for the nurse to educate the client about the dangers of smoking in the presence of oxygen, as well as the benefits of quitting.
-Which client has the most urgent need for frequent nursing assessment?
A. An older client who was admitted 2 hours ago with emphysema and dyspnea and has a 45-year 2-pack-per-day smoking history, and is receiving 50% oxygen through a Venturi mask
B. A young client who has had a tracheostomy for 1 week, who is on room air with SpO2 in the upper 90's, who has been receiving antibiotic therapy for 16 hours, and who has foul-smelling drainage on the tracheostomy ties
C. An older adult client who is anxious to go home with her new tank of oxygen and supply of nasal cannulas and is being discharged with a new prescription for home oxygen therapy
D. A middle-aged client who was admitted yesterday with pneumonia and is receiving oxygen at 2 L/min through a nasal cannula
An older adult client with a long history of smoking and chronic lung disease who is receiving high-flow oxygen delivery is at elevated risk for respiratory depression owing to the hypoxic drive of respirations countered by high levels of oxygen. This client must be assessed frequently while receiving high-flow oxygen. [Show Less]