A client is receiving oxygen by nonrebreather mask, but the bag is deflating on inspiration. What action should be taken by the nurse?
1. Turn the client to the left side.
2. Increase the percentage of oxygen being delivered.
3. Check for an airtight seal between the client's face and the mask.
4. Increase the liter flow of oxygen being delivered.
Correct Answer: 4
Rationale 1: There is no need to turn the client to either side.
Rationale 2: All oxygen is delivered at 100%, so there is no method to increase the percentage of oxygen being delivered.
Rationale 3: The seal between the client's face and the mask should be snug, but will not be airtight.
Rationale 4: To prevent carbon dioxide buildup, the nonrebreather bag must not totally deflate during inspiration. If it does, the nurse can correct this problem by increasing the liter flow of oxygen.
You might also like to view...
A student nurse is doing clinical hours at an OB/GYN clinic. The student is helping to develop a plan of care for a patient with gonorrhea who has presented at the clinic. The student should include which of the following in the care plan for this patient
A) The patient may benefit from oral contraceptives. B) The patient must avoid use of tampons. C) The patient is susceptible to urinary incontinence. D) The patient should also be treated for chlamydia.
What is the definition of the term genome?
A. The total genetic material for a species B. The personal characteristics that can be inherited C. The total cellular chromosomes minus the sex chromosomes D. The basic unit of inheritance that codes for a single physical trait
Which drug should be avoided during the last 3 months of pregnancy?
a. Prednisone b. Montelukast c. Indomethicin d. Dyphenhydramine
After receiving change-of-shift report on a medical unit, which patient should the nurse assess first?
a. A patient with cystic fibrosis who has thick, green-colored sputum b. A patient with pneumonia who has crackles bilaterally in the lung bases c. A patient with emphysema who has an oxygen saturation of 90% to 92% d. A patient with septicemia who has intercostal and suprasternal retractions