Nokea
The nurse assesses the client using the device pictured below to deliver 50% O2: The nurse finds that the mask fits snugly the skin under the mask and straps is intact and the flow rate of the oxygen is 3 L/min. What action by the nurse is best?
Correct Answer: C
Rationale: The correct answer is C: Immediately increase the flow rate. A flow rate of 3 L/min is inadequate to deliver 50% O2 through a mask. Increasing the flow rate will ensure the client receives the prescribed oxygen concentration.
Incorrect choices:
A: Assess the client's oxygen saturation - This is not the priority as the oxygen delivery is suboptimal.
B: Document these findings in the chart - Documentation is important but addressing the oxygen delivery issue is more critical.
D: Turn the flow rate down to 2 L/min - This would further reduce the oxygen concentration, which is not appropriate in this case.