A patient with chronic obstructive pulmonary disease has an oxygen saturation of 86% on room air and increasing drowsiness. Which action should the nurse take first?
Correct answer: A. Apply prescribed controlled oxygen and reassess the patient
- A. Apply prescribed controlled oxygen and reassess the patient
- B. Withhold oxygen because it may suppress breathing
- C. Ask the patient to breathe into a paper bag
- D. Place the patient flat and encourage sleep
Explanation
The nurse should provide controlled oxygen as prescribed and closely reassess respiratory status, because hypoxemia is an immediate threat. Oxygen is not withheld from a hypoxemic patient, although excessive uncontrolled oxygen may worsen carbon dioxide retention in some patients with COPD.
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About Respiratory Nursing
Covers nursing assessment and management of asthma, chronic obstructive pulmonary disease, pneumonia, tuberculosis, pleural disorders and respiratory failure. Key areas include breath sounds, oxygen therapy, airway suctioning, inhaled medicines, arterial blood gases and the difference between hypoxia, hypoxemia and carbon dioxide retention.
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