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The charge nurse is observing a new nurse caring for a client receiving oxygen via a simple mask with an FIO2 of 40%. The client mentions, "This moisture on my face is bothersome. Can something be done about it?" Which response by the new nurse would require clarification by the charge nurse?

a) "I’ll adjust the mask to make it tighter for a better seal."
b) "Let me provide you with a tissue to wipe away the moisture."
c) "I can switch you to a nasal cannula if the moisture is bothersome."
d) "This moisture is normal due to the humidity in the oxygen

1 Answer

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Final answer:

The new nurse's suggestion to tighten the mask may cause discomfort and doesn't address the moisture caused by humidification, which is a normal aspect of oxygen therapy designed to protect the lungs.

Step-by-step explanation:

The new nurse's response that may require clarification by the charge nurse is: "I’ll adjust the mask to make it tighter for a better seal." This action could potentially lead to discomfort or pressure sores and does not address the problem of moisture from accumulating beneath the mask, which is inherent to the humidification process when receiving oxygen therapy. The moisture on the client's face is indeed normal due to the humidity in the oxygen supplied by the mask, as respiratory systems, both natural and artificial, work to humidify incoming air. This moisturizes the airways and helps prevent damage to the lungs. If the moisture is bothersome, the nurse can provide a tissue to gently wipe away excess moisture or suggest an alternate delivery method such as a nasal cannula if appropriate for the patient's oxygenation needs. It is essential to ensure the client is comfortable while receiving oxygen therapy without compromising the effectiveness of treatment.

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