Question

The nurse is caring for a client who was just placed on supplemental oxygen per nasal cannula and should contact the healthcare provider if which assessment data are noted at the next assessment? Select all that apply.

Select one or more:

a. The client complains of feeling anxious and restless.

b. Skin color is pink and warm to touch.

c. The heart rate is 82.

d. The respiratory rate is 36.

e. The client is using accessory muscles to breathe.

Answer 1

Option ( a) , (d) and ( e) are correct.

(a) The client complaints of feeling anxious and restless.

( d) The respiratory rate is 36

( e) The client is using accessory muscles to breath.

Explaination :-

The nurse should take baseline vital signs and note the client's level of consciousness when the client was placed on supplemented oxygen per nasal cannula. The nurse should instruct the client to notify him or her of increading distress, restlessness, anxiety, air hunger , nausea , dry nasal passages or sore throat.