Final answer:
To address the client's discomfort and ensure proper oxygenation, the nurse should assess the fit and positioning of the nasal cannula, consider using ear cushions or padding, collaborate with the healthcare team for alternative oxygen delivery methods, closely monitor the oxygen saturation, document the symptoms and interventions, and educate the client.
Step-by-step explanation:
Based on the client's reported bilateral ear pain and the observed reddened areas on the helix of both ears, it is important for the nurse to assess the client for potential complications related to the nasal cannula and oxygen therapy. One potential complication is oxygen-induced skin damage, which can occur when the oxygen delivery system is in direct contact with the skin for an extended period of time. This can lead to skin irritation, redness, and discomfort.
To address the client's discomfort and ensure proper oxygenation, the nurse should:
- Assess the fit and positioning of the nasal cannula to minimize pressure on the ears.
- Consider using ear cushions or padding to protect the skin on the helix of the ears from further irritation.
- Collaborate with the healthcare team to evaluate the need for alternative oxygen delivery methods, such as a face mask or oxygen hood, which may alleviate the ear pain and reduce the risk of skin damage.
- Monitor the client's oxygen saturation closely to ensure that it remains within an acceptable range (usually 92-100%). If the oxygen saturation drops below the acceptable range, the nurse should notify the healthcare provider immediately.
- Document the client's symptoms, interventions, and response to treatment in the medical record.
- Educate the client about the importance of reporting any changes in symptoms or discomfort related to the oxygen therapy.