Question

A client with COPD has O2 therapy ordered. What principle should guide the nurse in managing the delivery of O2 to this client?

Answer 1

Oxygen therapy in COPD should be carefully managed to ensure adequate oxygenation without causing further complications, with blood oxygen levels monitored using a pulse oximeter and adjusted based on individual needs.

Step-by-step explanation:

The principle that should guide the nurse in managing the delivery of O2 therapy to a client with COPD is to optimize the oxygenation of the patient's blood while minimizing the risk of oxygen toxicity or CO2 retention. The management of O2 therapy in COPD patients is crucial, as their alveolar walls are damaged, reducing surface area for gas exchange and causing air trapping, which hampers the exchange of oxygen and carbon dioxide. The pulse oximeter is used to measure blood oxygen levels to ensure adequate oxygenation. Oxygen therapy should maintain enough pressure to aid in gas exchange without worsening CO2 retention. The delivery method and flow rate should be carefully selected based on the individual patient's needs, monitored diligently, and adjusted as necessary.