Complications and Interventions
Complications and Interventions ( 5 Questions)
A nurse is caring for a client receiving oxygen therapy via a non-rebreather mask. What is an important nursing intervention for this client?
The nurse should ensure that the reservoir bag attached to the non-rebreather mask remains inflated at all times. The inflated bag provides a reservoir of oxygen and ensures a high concentration of oxygen is delivered to the client during inhalation.
Adjusting the oxygen flow rate based on the client's preference is not appropriate without healthcare provider orders. The flow rate should be prescribed based on the client's oxygen needs.
Checking the client's oxygen saturation every 2 hours may not be necessary for all clients receiving oxygen therapy via a non-rebreather mask. The frequency of oxygen saturation monitoring should be based on the client's condition and healthcare provider's orders.
Encouraging the client to remove the mask during meals is not recommended unless otherwise specified by the healthcare provider. Removing the mask during meals may compromise oxygen delivery and should be avoided.
Answer: a. Ensuring the reservoir bag remains inflated at all times.
Explanation: The nurse should ensure that the reservoir bag attached to the non-rebreather mask remains inflated at all times. The inflated bag provides a reservoir of oxygen and ensures a high concentration of oxygen is delivered to the client during inhalation.
Incorrect choices: b. Adjusting the oxygen flow rate based on the client's preference is not appropriate without healthcare provider orders. The flow rate should be prescribed based on the client's oxygen needs.
c. Checking the client's oxygen saturation every 2 hours may not be necessary for all clients receiving oxygen therapy via a non-rebreather mask. The frequency of oxygen saturation monitoring should be based on the client's condition and healthcare provider's orders.
d. Encouraging the client to remove the mask during meals is not recommended unless otherwise specified by the healthcare provider. Removing the mask during meals may compromise oxygen delivery and should be avoided.