Chapter 11 (Oxygen Therapy)
Open Resources for Nursing (Open RN)
Answer Key to Chapter 11 Learning Activities
Priority Actions First Assess pulse oximetry Second Assess lung sounds Third Apply oxygen as ordered Four Reassess pulse oximetry Fifth Institute actions to improve oxygenation Sixth Teach oxygen safety
(Rationale: Priority of actions includes the gathering of assessment information to reflect the patient’s respiratory condition. Once you have collected information, intervention can be initiated with application of oxygen if needed and subsequent reassessment of the pulse oximetry reading. Additional actions to improve client oxygenation and lung capacity can then be implemented with coughing, deep breathing, and use of incentive spirometry. Finally, once the patient experiences improvement in oxygenation and breathing status, reinforcement of oxygen education and safety measures would be appropriate).
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