The nurse is getting an end-of-shift report on a child with status asthmaticus. Which intervention should the nurse question?
a. Administer oxygen at 6 liters by nasal cannula.
b. Assess intravenous (IV) maintenance fluids and site every hour.
c. Notify the physician for signs of increasing respiratory distress.
d. Organize care to allow for uninterrupted rest periods.
A
Supplemental oxygen should not exceed 2 L/min and 6 L/min exceeds the recommended flow rate for a nasal cannula. Administration of oxygen to a child with chronic carbon dioxide retention may lead to respiratory depression by decreasing the stimulus to breathe. When the child cannot take oral fluids because of respiratory distress, IV fluids are administered. The child with a continuous IV infusion must be assessed hourly to prevent complications. A physician should be notified of any changes indicating increasing respiratory distress. A child in respiratory distress is easily fatigued. Nursing care should be organized so the child can get needed rest without being disturbed.
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