A patient is pale, restless and increasingly confused. The oxygen saturation is 84% while the patient is breathing spontaneously. Which action is the priority?
Correct answer: A. Apply a non-rebreather mask and assess the response
- A. Apply a non-rebreather mask and assess the response
- B. Offer oral fluids and reassess after 30 minutes
- C. Encourage coughing before providing oxygen
- D. Place the patient in a supine position
Explanation
The findings suggest significant hypoxia, so airway and breathing take priority. Applying a non-rebreather mask at the prescribed high flow can rapidly increase oxygen delivery while the nurse assesses the airway, breathing and response.
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About Oxygen Therapy and Airway Care
Airway care includes positioning, suctioning, coughing and deep-breathing exercises, incentive spirometry, oxygen delivery devices and humidification. Questions address indications, flow rates, safety precautions and monitoring for hypoxia or oxygen toxicity, while distinguishing nasal cannula, simple mask, non-rebreather mask and Venturi mask use.
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