The client with chronic respiratory acidosis who is receiving oxygen by nasal cannula at 10 L/min now has a respiratory rate of 8 . What is the nurse's best action?

A. Document the observation as the only action.
B. Change the nasal cannula to an oxygen mask.
C. Place the client in a high-Fowler's position.
D. Decrease the oxygen flow rate.


D
The primary trigger for respiration in a client with chronic respiratory acidosis is a decreased ar-terial oxygen level (hypoxic drive). Oxygen therapy can inhibit respiratory effort in this case, eventually causing death.

Nursing

You might also like to view...

A nurse is planning care for a client with sickle cell disease and chooses "Acute Pain" as the nursing diagnosis. Which intervention is inappropriate for the nurse to include in this plan of care?

A) Administer ordered analgesic medications around the clock. B) Place patient in position of comfort. C) Use heat or cold packs as tolerated. D) Support the client's joints and extremities with pillows.

Nursing

A patient develops frequent ventricular ectopy. The nurse prepares to administer which drug?

a. Adenosine b. Atropine c. Lidocaine d. Magnesium

Nursing

For which range of time must a nurse wash her hands before working in the operating room?

1) 1 to 2 minutes 2) 2 to 4 minutes 3) 2 to 6 minutes 4) 6 to 10 minutes

Nursing

The nurse is observing a second nurse who is changing a dressing. While observing the procedure, which would cause the nurse to stop the second nurse and take over the procedure?

A. The second nurse used one swab to clean the wound. B. The second nurse cleaned the wound from near the wound and then outward. C. The second nurse kept the forceps tip lower than the forceps handle when cleaning the wound. D. The second nurse put on clean gloves to begin the wound cleaning process.

Nursing