A client visits the health care facility for a scheduled physical ...

[kfurse]

A client visits the health care facility for a scheduled physical assessment. What should the nurse do when physically assessing the quality of the client's oxygenation? Select all that apply.
 
  A) Monitor the client's respiratory rate.
  B) Note the amount of oxygen administered.
  C) Check the symmetry of the client's chest.
  D) Observe the breathing pattern and effort.
  E) Check the devices used to deliver oxygen.

Question 2

A nurse is delivering oxygen to a client via an oxygen mask. Which of the following is a recommended guideline for this procedure?
 
  A) Adjust the mask so it fits tightly around the face.
  B) For a mask with a reservoir, fill the reservoir half-full of oxygen.
  C) Remove the mask and dry the skin every two to three hours if the oxygen is running continuously.
  D) If the client is experiencing redness around the mask, remove and apply powder to the mask.

[quynhmickitran]

Answer to Question 1

Ans: A, C, D
When physically assessing the quality of the client's oxygenation, the nurse should monitor the client's respiratory rate, check the symmetry of the client's chest, and observe the breathing pattern and effort of the client. The nurse should also auscultate for lung sounds. Additional assessments include recording the heart rate and blood pressure, determining the client's level of consciousness, and observing the color of the skin, mucous membranes, lips, and nailbeds. However, the nurse does not note the amount of oxygen administered to the client, or check the device that is used to deliver oxygen to the client during the physical assessment.

Answer to Question 2

Ans: C
To apply an oxygen mask, position the facemask over the client's nose and mouth and adjust the elastic strap so that the mask fits snugly, but comfortably, on the face. For a mask with a reservoir, be sure to allow oxygen to fill the bag before proceeding to the next step. Remove the mask and dry the skin every two to three hours if the oxygen is running continuously; do not use powder around the mask.

[kfurse]

Thanks

[quynhmickitran]

Welcome