The nurse is preparing to administer oxygen as ordered by the physician via a face mask to a client admitted with hypothermia secondary to exposure to the elements
What important nursing intervention will the nurse perform specific to the needs of this client? 1. Apply a heated humidifier.
2. Turn the oxygen flow to 15 liters per minute.
3. Suction the oropharynx before placing the face mask.
4. Pad the sides of the mask.
1
Rationale: The client with hypothermia, or at risk for hypothermia, should have heated oxygen administered to prevent further chilling. Oxygen flow will be determined by the type of mask and amount of oxygen to be delivered. There is no need to suction the oropharynx, which could risk trauma, unless the client is unable to clear secretions independently, which is not indicated by the question. There is no reason to pad the sides of the mask, and this could result in loss of oxygen due to improper seal of mask to face.
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