A nurse is caring for a client receiving oxygen through a non-rebreathing mask (NRM). What measure should the nurse employ when caring for the client?
A) Avoid leaving a client wearing an NRM alone.
B) Set flow rate required to keep the bag completely inflated.
C) Allow the client to turn and reposition every 1 to 2 hours.
D) Keep an emergency manual breathing bag readily available.
A
Feedback:
The nurse should avoid leaving a client wearing an NRM alone, because the procedure produces extremely high oxygen concentrations that may cause oxygen toxicity in as few as 72 hours. The bag of the NRM must remain at least one-third inflated and not completely inflated. The nurse must allow the client to turn and reposition every 1 to 2 hours and keep an emergency manual breathing bag readily available when the client is receiving mechanical ventilation, not when wearing an NRM.
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