Oxygen therapy

Oxygen therapy ( 22 Questions)

A nurse is caring for a client who is dyspneic and slightly cyanotic, with a respiratory rate of 28/min. The nurse determines that the client has impaired gas exchange during which of the following phases of the nursing process?


Correct Answer: A

Choice A rationale:

Impaired gas exchange is assessed during the "Assessment”. phase of the nursing process. The nurse gathers data on the client's respiratory rate, cyanosis, and dyspnea to determine the presence of impaired gas exchange.

Choice B rationale:

Diagnosis in the nursing process involves identifying the client's health problems based on the assessment data. It does not specifically address impaired gas exchange during this phase.

Choice C rationale:

Planning involves setting goals and outcomes for the client's care. While addressing impaired gas exchange may be part of the plan, it is not the phase in which the nurse determines the client's gas exchange status.

Choice D rationale:

Evaluation is the phase of the nursing process where the nurse assesses the client's response to interventions and determines the effectiveness of the care provided. It does not directly relate to identifying impaired gas exchange.




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