What would the nurse do first when preparing to begin oxygen therapy for a patient?
A. Educate the NAP about the oxygen orders.
B. Review the medical prescription for delivery method and flow rate.
C. Place a "No Smoking" sign outside of the hospital room.
D. Ensure that suction equipment is present in the room.
Give this one a try later!
B. Review the medical prescription for delivery method and flow rate.
The nurse's initial action when preparing to begin oxygen therapy would be
to review the delivery method and flow rate specified on the medical
order. The NAP is not able to complete oxygen orders. Smoking is not
permitted inside hospitals. This sign would need to be put up at the
patient's home. Suction equipment is not needed for oxygen therapy.
Which intervention reduces the risk for skin breakdown in a patient with a new
tracheostomy?
,A. Cleaning the stoma with hydrogen peroxide and drying thoroughly
B. Cleaning and assessing the skin around the stoma
C. Assessing temperature and reporting skin breakdown immediately
D. Allowing the patient to re-oxygenate after each tracheal suctioning
Give this one a try later!
B. Cleaning and assessing the skin around the stoma.
Frequently cleaning and assessing the skin in the tracheostomy area will
reduce the patient's risk for skin breakdown. Hydrogen peroxide is not
used to cleanse the stoma and could injure the patient's skin. Assessing for
signs of infection and reporting skin breakdown will not reduce the
patient's risk for injury. Re-oxygenating after suctioning will not reduce the
patient's risk for skin breakdown.
When preparing the patient's environment for safe oxygen therapy, which intervention
is a priority to minimize the patient's risk for injury?
A. Place appropriate signage to alert staff and visitors to the presence of oxygen in
the patient's room.
B. Instruct nursing assistive personnel (NAP) to immediately correct or report safety
hazards.
C. Inspect all electrical equipment in the patient's room for the presence of safety-
check tags.
D. Ensure that the patient receives the prescribed amount of oxygen via the
appropriate method.
Give this one a try later!
C. Inspect all electrical equipment in the patient's room for the presence of
safe-check tags.
Inspecting electrical equipment would take priority among the other
interventions in providing environmental safety. Placing appropriate
signage to alert others to the presence of oxygen and instructing the NAP
to immediately correct or report safety hazards do not take priority
, regarding environmental safety. Ensuring the patient receives the
prescribed amount of oxygen does not pertain to environmental safety.
What should the nurse do when a patient is ordered to receive 4 L/min oxygen by
nasal cannula?
A. Encourage oral fluids.
B. Restrict fluids.
C. Ensure that humidification is present.
D. Measure blood pressure every hour.
Give this one a try later!
C. Ensure that humidification is present.
If the oxygen flow rate is 4 L/min or higher, add humidification and verify
that water is bubbling in the humidifier. Fluids need not be encouraged in
the patient receiving 4 L/min oxygen by nasal cannula. Fluids need not be
restricted in the patient receiving 4 L/min oxygen by nasal cannula. Blood
pressure need not be measured every hour in a patient receiving 4 L/min
oxygen by nasal cannula.
What is the most effective way of preventing aspiration?
A. Observe the patient closely for coughing, gagging, choking, and voice alteration.
B. Monitor oxygen saturation with pulse oximetry.
C. Put any at-risk patient on NPO status until a dysphagia evaluation can be
conducted by a speech and language pathologist (SLP).
D. Watch for subtle signs that aspiration may have occurred, such as lack of speech,
depressed alertness, wet quality to the voice, difficulty controlling secretions, and
absence of a gag reflex.
Give this one a try later!
A. Educate the NAP about the oxygen orders.
B. Review the medical prescription for delivery method and flow rate.
C. Place a "No Smoking" sign outside of the hospital room.
D. Ensure that suction equipment is present in the room.
Give this one a try later!
B. Review the medical prescription for delivery method and flow rate.
The nurse's initial action when preparing to begin oxygen therapy would be
to review the delivery method and flow rate specified on the medical
order. The NAP is not able to complete oxygen orders. Smoking is not
permitted inside hospitals. This sign would need to be put up at the
patient's home. Suction equipment is not needed for oxygen therapy.
Which intervention reduces the risk for skin breakdown in a patient with a new
tracheostomy?
,A. Cleaning the stoma with hydrogen peroxide and drying thoroughly
B. Cleaning and assessing the skin around the stoma
C. Assessing temperature and reporting skin breakdown immediately
D. Allowing the patient to re-oxygenate after each tracheal suctioning
Give this one a try later!
B. Cleaning and assessing the skin around the stoma.
Frequently cleaning and assessing the skin in the tracheostomy area will
reduce the patient's risk for skin breakdown. Hydrogen peroxide is not
used to cleanse the stoma and could injure the patient's skin. Assessing for
signs of infection and reporting skin breakdown will not reduce the
patient's risk for injury. Re-oxygenating after suctioning will not reduce the
patient's risk for skin breakdown.
When preparing the patient's environment for safe oxygen therapy, which intervention
is a priority to minimize the patient's risk for injury?
A. Place appropriate signage to alert staff and visitors to the presence of oxygen in
the patient's room.
B. Instruct nursing assistive personnel (NAP) to immediately correct or report safety
hazards.
C. Inspect all electrical equipment in the patient's room for the presence of safety-
check tags.
D. Ensure that the patient receives the prescribed amount of oxygen via the
appropriate method.
Give this one a try later!
C. Inspect all electrical equipment in the patient's room for the presence of
safe-check tags.
Inspecting electrical equipment would take priority among the other
interventions in providing environmental safety. Placing appropriate
signage to alert others to the presence of oxygen and instructing the NAP
to immediately correct or report safety hazards do not take priority
, regarding environmental safety. Ensuring the patient receives the
prescribed amount of oxygen does not pertain to environmental safety.
What should the nurse do when a patient is ordered to receive 4 L/min oxygen by
nasal cannula?
A. Encourage oral fluids.
B. Restrict fluids.
C. Ensure that humidification is present.
D. Measure blood pressure every hour.
Give this one a try later!
C. Ensure that humidification is present.
If the oxygen flow rate is 4 L/min or higher, add humidification and verify
that water is bubbling in the humidifier. Fluids need not be encouraged in
the patient receiving 4 L/min oxygen by nasal cannula. Fluids need not be
restricted in the patient receiving 4 L/min oxygen by nasal cannula. Blood
pressure need not be measured every hour in a patient receiving 4 L/min
oxygen by nasal cannula.
What is the most effective way of preventing aspiration?
A. Observe the patient closely for coughing, gagging, choking, and voice alteration.
B. Monitor oxygen saturation with pulse oximetry.
C. Put any at-risk patient on NPO status until a dysphagia evaluation can be
conducted by a speech and language pathologist (SLP).
D. Watch for subtle signs that aspiration may have occurred, such as lack of speech,
depressed alertness, wet quality to the voice, difficulty controlling secretions, and
absence of a gag reflex.
Give this one a try later!
