A client with pneumonia exhibits signs of respiratory distress and decreased oxygen saturation. What is the primary indication for initiating oxygen therapy in this client?

Correct Answer: C

Rationale: In a client with pneumonia, the primary indication for oxygen therapy is to improve oxygen delivery to tissues and alleviate hypoxia.

Correct Answer: D

Rationale: When using a face mask for oxygen therapy, the nurse should assess the client's skin for any signs of irritation or breakdown due to prolonged mask use. It is important to ensure proper mask fit and periodically assess the skin integrity to prevent pressure ulcers or skin breakdown.

Correct Answer: B

Rationale: The nurse should adjust the oxygen flow rate on the Venturi mask according to the prescribed percentage of inspired oxygen (FiO2). The specific flow rate and FiO2 will be specified in the healthcare provider's orders.

Correct Answer: C

Rationale: Oxygen supports combustion, and using electric heating devices in the presence of oxygen therapy can pose a significant fire hazard. It is important to educate clients with long-term oxygen therapy about the importance of avoiding open flames and electric heating devices to ensure their safety.

Correct Answer: A

Rationale: Obtaining vital signs may be delegated (right task) as long as the client is stable (right circumstance). In the scenario, the client is 1 day postpartum and there is no indication the client is unstable.