The client with a chronic obstructive respiratory disease is receiving oxygen via a nasal cannula. The nurse plans to include the following intervention in the client's care:
A. Assess nares for skin breakdown every 6 hours
B. Check patency of the cannula every 2 hours
C. Inspect the mouth every 6 hours
D. Check oxygen flow every 24 hours
A
A. The nurse caring for the client with a nasal cannula should plan to assess the client's nares and superior surface of both ears for skin breakdown every 6 hours.
B. The nurse should check patency of the cannula every 8 hours.
C. The nurse does not need to check the client's mouth in relation to the client's use of a nasal cannula. The nurse should continue providing oral hygiene and may assess the mouth (i.e., tongue) for cyanosis, along with other assessment measures.
D. Oxygen flow should be checked every 8 hours, not every 24 hours.
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