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Questions and Answers
Mrs. Blue, a CHF patient, uses 2 LPM of oxygen via nasal prongs PRN for SOBE. Before assisting her, what crucial information should you obtain from the Team Leader?
Mrs. Blue, a CHF patient, uses 2 LPM of oxygen via nasal prongs PRN for SOBE. Before assisting her, what crucial information should you obtain from the Team Leader?
- The last time Mrs. Blue had visitors and their names.
- The prescribed LPM, whether topical ointment is allowed, and the preferred oxygen delivery device. (correct)
- Mrs. Blue’s preferred television channel and daily activity schedule.
- The current air quality index in the facility to adjust oxygen flow.
When administering oxygen via nasal prongs from a wall outlet to Mrs. Blue, how do you ensure the correct flow rate?
When administering oxygen via nasal prongs from a wall outlet to Mrs. Blue, how do you ensure the correct flow rate?
- Ensure that the flow meter ball is positioned right in the middle of the '2' line on the flow meter. (correct)
- Ensure that the flow meter ball rests at the bottom of the flow meter.
- Ensure that the flow meter ball is floating at the very top of the flow meter.
- Ensure that the flow meter ball is floating slightly above the '2' line on the flow meter.
If Mrs. Blue requires oxygen during an outing, what portable oxygen delivery system is most appropriate, and where would you typically locate it?
If Mrs. Blue requires oxygen during an outing, what portable oxygen delivery system is most appropriate, and where would you typically locate it?
- A liquid oxygen system located in the facility's storage unit.
- A compressed oxygen tank located at the nursing station. (correct)
- A portable oxygen concentrator located in the facility's maintenance room.
- A hyperbaric chamber located in the physical therapy department.
Considering Mrs. Blue's comfort, why are nasal prongs generally preferred over a face mask for continuous oxygen delivery?
Considering Mrs. Blue's comfort, why are nasal prongs generally preferred over a face mask for continuous oxygen delivery?
When Mrs. Blue is using nasal prongs, where should you regularly assess for potential skin breakdown?
When Mrs. Blue is using nasal prongs, where should you regularly assess for potential skin breakdown?
How should you properly clean Mrs. Blue's nasal prongs if they become blocked with nasal discharge?
How should you properly clean Mrs. Blue's nasal prongs if they become blocked with nasal discharge?
When Mrs. Blue experiences SOB, what signs and symptoms of hypoxia should you monitor and report?
When Mrs. Blue experiences SOB, what signs and symptoms of hypoxia should you monitor and report?
After observing Mrs. Blue showing signs of hypoxia, the nurse changes her oxygen delivery from nasal prongs to a simple face mask at 8 LPM. What specific observations will you prioritize while she is using the mask?
After observing Mrs. Blue showing signs of hypoxia, the nurse changes her oxygen delivery from nasal prongs to a simple face mask at 8 LPM. What specific observations will you prioritize while she is using the mask?
Flashcards
LPM
LPM
Liters Per Minute of oxygen administered.
SOBE
SOBE
Shortness Of Breath on Exertion
Nasal Cannula (prongs)
Nasal Cannula (prongs)
Device used to deliver oxygen into the nostrils.
Face Mask (O2)
Face Mask (O2)
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Hypoxia
Hypoxia
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O2 Sat Target
O2 Sat Target
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S/S of SOB/Hypoxia
S/S of SOB/Hypoxia
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Cleaning Nasal Cannula
Cleaning Nasal Cannula
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Study Notes
- Mrs. Blue has CHF and requires oxygen via nasal prongs at 2 LPM when she experiences shortness of breath on exertion (SOBE)
O2 Therapy: Team Leader Report
- Obtain the resident's LPM.
- Ask if any ointment can be applied to the face before using nasal prongs due to pressure on the skin.
- Determine if nasal prongs or a face mask should be used.
Application of Nasal Prongs
- Apply the nasal prongs connected to the wall outlet.
- The ball should be floating right in the middle.
Outings
- An oxygen tank is needed for outings.
- The oxygen tank can be found at the nursing station.
Nasal Cannula vs. Mask
- Nasal prongs are more comfortable as they allow easier eating and talking.
Skin Assessment
- Assess the ears, cheeks, chin, and nostrils for skin breakdown when wearing a nasal cannula.
Cleaning Nasal Prongs
- Clean the prongs with gentle soap and warm water if there is a lot of nasal discharge and the resident complains they are blocked.
Signs and Symptoms of SOB/Hypoxia
- Assess for dizziness, rapid pulse reading, confusion, anxiety, SOB, chest pain, or tightness.
Hypoxia Scenario
- Mrs. Blue shows signs of hypoxia, and her O2 sats are very low at 82%.
- The nurse delegates changing the nasal prongs to a simple mask at 8 LPM.
Observations with Face Mask
- Look for the ability to breathe normally, resident being alert, no signs of dizziness, normal pulse reading, no complaint of chest pain or tightness.
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Description
This lesson covers oxygen therapy, including LPM levels, choosing between nasal prongs and masks, and ensuring proper application. It also details important considerations for outings, skin assessment, and cleaning the nasal prongs to ensure resident comfort and safety.
