Difficulty: Medium
Average Score: 93%
Simulated
A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5 L/min via nasal cannula. Which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct answer is A: Attach a humidifier bottle to the base of the flow meter. This is important to prevent the nasal passages from drying out due to the continuous flow of oxygen. Humidification helps maintain mucous membrane hydration and prevents irritation. It also enhances comfort and reduces the risk of nosebleeds.
Choice B is incorrect as securing the oxygen tubing to the bed sheet near the client's head can cause tubing to kink or become disconnected, compromising oxygen delivery.
Choice C is incorrect as petroleum jelly should not be applied to the nares as it can interfere with oxygen absorption.
Choice D is incorrect as the nasal cannula should not be removed while the client eats, as oxygen therapy needs to be continuous to maintain adequate oxygenation.
In summary, choice A is the correct action as it promotes effective oxygen therapy and client comfort, while choices B, C, and D can lead to potential complications.
Choice B is incorrect as securing the oxygen tubing to the bed sheet near the client's head can cause tubing to kink or become disconnected, compromising oxygen delivery.
Choice C is incorrect as petroleum jelly should not be applied to the nares as it can interfere with oxygen absorption.
Choice D is incorrect as the nasal cannula should not be removed while the client eats, as oxygen therapy needs to be continuous to maintain adequate oxygenation.
In summary, choice A is the correct action as it promotes effective oxygen therapy and client comfort, while choices B, C, and D can lead to potential complications.