Author Question: The nurse would consider which action by unlicensed assistive personnel (UAP) as appropriate when ... (Read 54 times)

ahriuashd · **on:** Jun 25, 2018

The nurse would consider which action by unlicensed assistive personnel (UAP) as appropriate when observing care that is provided?

1. Increasing the oxygen flow rate when low oxygen saturation is measured on the client
2. Initiating oxygen therapy when a client is found to be dyspneic
3. Changing the oxygen delivery from nasal cannula to face mask when the client complains of nasal discomfort
4. Measuring oxygen saturation and replacing the client's oxygen mask when it becomes malpositioned while the client sleeps

Question 2

The client is started on 90 oxygen by nonrebreather mask at 0800. The nurse working the night shift assesses the client, who complains of substernal pain and dyspnea and has rales audible in the lower lung field bilaterally.

Based on these assessment findings, what does the nurse suspect?
1. Myocardial hypoxia
2. Pulmonary emboli
3. Oxygen toxicity
4. Congestive heart failure
Correct Answer: 3

joshbk44 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4

The unlicensed assistive personnel (UAP) can safely measure oxygen saturation or reposition the oxygen mask on the client's face. Only the nurse should determine the need for increased oxygen delivery, initiation of therapy, or changing the delivery method of oxygen.

Answer to Question 2

Oxygen toxicity can develop as early as 12 hours after breathing high concentrations of oxygen, and is indicated by substernal pain, cough, sore throat, dyspnea, and pulmonary edema. Oxygen toxicity should be ruled out before assessing for other causes.