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Question

Difficulty: MediumBasic Care and Comfort

A practical nurse is caring for a client who is on strict bed rest and receiving continuous oxygen therapy via a nasal cannula for severe pneumonia. Which basic care and comfort interventions should the nurse implement? Select all that apply.

  1. Apply a water-soluble lubricant to the nares to relieve dryness and irritation.Answer
  2. Place protective padding on the oxygen tubing where it rests over the ears.Answer
  3. Encourage the client to perform active range-of-motion exercises in bed.Answer
  4. D
    Position the client completely flat in bed to ensure continuous, restorative rest.
  5. E
    Remove the oxygen cannula briefly when assisting the client with oral hygiene.

Answer

The correct interventions are applying a water-soluble lubricant to the nares, placing protective padding on the oxygen tubing over the ears, and encouraging active range-of-motion exercises.
Providing a water-soluble nasal lubricant, padding the oxygen tubing, and encouraging active range-of-motion exercises are appropriate nursing actions that promote physical comfort, prevent medical device-related skin breakdown, and minimize the systemic risks associated with strict bed rest.

Step-by-Step Solution

1
Analyze the client's condition and prescribed therapies.
The client has severe pneumonia, is on strict bed rest, and requires continuous oxygen via a nasal cannula.
Identifying the client's specific vulnerabilities (immobility, respiratory compromise, medical devices) dictates the appropriate basic care measures.
2
Evaluate each intervention for safety, efficacy, and relevance to comfort and basic care.
Lubricating the nares, padding the tubing, and performing range-of-motion exercises are safe and supportive measures.
These actions prevent skin breakdown, mucosal dryness, and complications of immobility without compromising the client's respiratory status.
3
Identify contraindicated actions that compromise client safety.
Positioning the client completely flat and removing the oxygen cannula for hygiene are unsafe.
A flat position impairs lung expansion, and removing oxygen during oral care ignores airway and breathing priorities.

Key Concept

Basic care for clients on bed rest with oxygen therapy focuses on maintaining skin integrity, preventing immobility complications, and supporting respiratory function.
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Topics

Basic Care and Comfort

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