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Emergency Procedures

If a client who is usually on 2 L/min of oxygen complains of feeling short of breath, the nurse aide SHOULD:

From Free CNA Skills Test Practice pdf

Answer choices

  1. A Lower the head of the bed.
  2. B Sit down to reassure the client.
  3. C Turn the oxygen up to 4 L/min.
  4. D Tell the nurse immediately.

Correct answer: D. Tell the nurse immediately.

Clinical Rationale

Tell the nurse immediately.

When a client who typically requires 2 L/min of oxygen reports feeling short of breath, it is crucial for the nurse aide to notify the nurse immediately to assess the situation and adjust the treatment plan as necessary. This ensures that the client receives appropriate medical attention and possible intervention to address their respiratory distress.

A) Lower the head of the bed.

While elevating the head of the bed can sometimes help with breathing, lowering it may actually exacerbate the client's shortness of breath. It is important to assess the client's condition first, rather than making assumptions about positioning without professional guidance.

B) Sit down to reassure the client.

Sitting down to reassure the client may provide temporary comfort, but it does not address the underlying issue of their shortness of breath. The nurse aide is not equipped to evaluate or treat respiratory distress, and reassurance alone is insufficient in this scenario.

C) Turn the oxygen up to 4 L/min.

Adjusting the oxygen flow without proper assessment or instruction from a nurse can be unsafe. The nurse aide should not independently change the oxygen settings, as it may lead to further complications or inappropriate treatment for the client's condition.

Conclusion

In situations where a client on oxygen therapy reports feeling short of breath, the priority must be to inform the nurse for immediate intervention. The nurse aide's role is to observe and report, not to make changes to care protocols independently. By promptly notifying the nurse, the aide ensures that the client receives the necessary evaluation and treatment to manage their symptoms effectively.

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