1. A nursing student is assigned to care for a patient with
chronic obstructive pulmonary disease (COPD) who is
receiving oxygen therapy via nasal cannula. The student
notices that the patient's oxygen saturation is 88% and the
oxygen flow rate is 2 L/min. What should the student do in
this situation? Explain your answer.
- The student should notify the nurse or the instructor and
ask for guidance on how to adjust the oxygen therapy. The
student should not increase the oxygen flow rate without a
physician's order, as this could cause oxygen toxicity or
suppress the patient's hypoxic drive. The student should
also assess the patient for signs of respiratory distress, such
as dyspnea, cyanosis, or confusion, and provide supportive
care as needed. The rationale for this answer is that patients
with COPD have a chronic condition that affects their
ability to exchange oxygen and carbon dioxide, and they
may require supplemental oxygen to maintain adequate
oxygenation. However, oxygen therapy must be titrated
carefully and monitored closely, as too much or too little
oxygen can have adverse effects on the patient's health and
safety.
2. A nursing student is observing a nurse perform a sterile
dressing change on a patient with a surgical wound. The
nurse asks the student to hand her a pair of sterile gloves
from the sterile field. The student picks up the gloves by
the cuffs and hands them to the nurse. What did the student
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