Author Question: A child is brought to the emergency department with moderate respiratory distress. She has an oxygen ... (Read 76 times)

Tirant22 · **on:** Jun 28, 2018

A child is brought to the emergency department with moderate respiratory distress. She has an oxygen saturation of 89 but is awake, alert, and responsive, and is clinging to the mother.

The nurse is consulting about appropriate oxygen delivery devices and expresses concern about the patient retaining CO2. Which oxygen delivery device is the most appropriate for this child?
A.
Facial CPAP
B.
Nasal cannula
C.
Oxygen tent
D.
Venturi mask

Question 2

A nurse is supervising a student working with hemodynamic monitors. Which action by the student requires the nurse to intervene?

A.
Adjusts the transducer each time the patient is repositioned
B.
Assesses all connections each time he or she is in the room
C.
Positions the transducer at the fifth intercostal space
D.
Positions the transducer in the mid-clavicular line

uniquea123 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
A Venturi mask can deliver oxygen concentrations up to 40 and is especially beneficial for the patient who potentially will retain CO2. Facial CPAP is invasive and is not warranted for a child in this degree of distress. Nasal cannulae do not have a benefit in CO2 retainers. An oxygen tent will require the child to be taken from the mother, which potentially will increase her agitation and oxygen needs.

Answer to Question 2

ANS: C
The transducer must be placed level with the phlebostatic axis, and so is placed in line with the fourth intercostal space, mid-clavicular line. When the students places it in line with the fifth intercostal space, the nurse should intervene. The transducer may need to be adjusted when the patient is repositioned. All the monitoring device connections should be firmly connected and should be assessed each time the student is in the room.