Question

In: Nursing

7) State outcome criteria for evaluating client responses to measures that promote adequate oxygenation.

7) State outcome criteria for evaluating client responses to measures that promote adequate oxygenation.

Solutions

Expert Solution

The criteria for assessing the response of measures that promote adequate oxygenation are:-

1. Reassessing the respiratory rate after providing intervention - Stabilization of respiratory rate between 16-20 breaths /min ensures adequate oxygenation.During shortness of breath patient has tachypnea.

2.Assess the patient for any difficult in breathing and the breath sounds - Absence of shortness of breath and wheezing during auscultation ensures adequate oxygenation.

3. Assessing the heart rate after providing intervention -. Stabilization of heart rate ,means patient will have normal heart rate between 60-100beats/min. During shortness of breath ,heart rate increases(tachycardia).

4. Assessing the skin colour of the patient -Bluish discolouration of skin due to deficiency of oxygen called cynosis, after adequate oxygen therapy cyanosis disappears.

5. Assessing the saturation level post intervention - Stabilization of saturation level between 95-100 ensures adequate oxygenation.

6. Assessing the mental status of patient - Patient will be alert , concentrated and have no confusions . Patients with deficiency in oxygen level has confusion ,altered sensorium.

7. Assessing the ABG values - Normal ABG values like ph between 7.35 to 7.45, pO2- 80 to 100mmhg ,pCO2- 35 to 45mmhg ,bicarbonate between 22-27 mEq/l.

8 Ask the patient for any complaints of dizziness, fainting etc . The patient will have no complaints of dizziness and fainting after adequate oxygen therapy.


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