A nurse is assisting discharge planning for a client who has a new prescription for bi-level positive airway pressure (BIPAP). The nurse should plan to contact which of the following healthcare team members to educate the client?
Case manager
Occupational therapist
Physical therapist
Respiratory therapist
The Correct Answer is D
A. Case manager: A case manager can help coordinate care but is not responsible for the specific education on BiPAP use.
B. Occupational therapist: Occupational therapists focus on daily living activities, not respiratory therapy.
C. Physical therapist: Physical therapists work on mobility and musculoskeletal issues, not respiratory support or BiPAP education.
D. Respiratory therapist: A respiratory therapist is responsible for providing education on the use of BiPAP, as they are specialists in respiratory equipment and therapy. They ensure that the client knows how to use the machine properly at home.
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Correct Answer is C
Explanation
A. "It delivers the highest concentration of oxygen possible." This is inaccurate; other methods (like non-rebreather masks) deliver higher concentrations.
B. "It delivers a specific concentration of oxygen constantly." While it does provide a specific concentration, it is not as constant as other devices because it can vary based on the client's breathing patterns.
C. "It delivers the low concentration of oxygen you need." A nasal cannula typically delivers a low concentration of oxygen (approximately 24-44% oxygen depending on the flow rate), which is appropriate for clients who need supplemental oxygen but do not require a high concentration.
D. "It allows you to remove it for a while when it gets uncomfortable." This is misleading; while the client can remove it temporarily, it is essential to maintain oxygen therapy as prescribed for adequate oxygenation.
Correct Answer is D
Explanation
A. "I will seal my lips around the mouthpiece and take slow, deep breaths.": This is a correct technique for nebulizer use, ensuring proper delivery of the medication.
B. "I should wash the mouthpiece with warm, soapy water each day.": Proper cleaning of the mouthpiece daily is recommended to prevent infection and maintain hygiene.
C. "I will store my nebulizer at room temperature.": Storing the nebulizer at room temperature is appropriate to ensure its functionality.
D. "I should keep medication in my nebulizer at all times." Nebulizer medication should not be left in the device when it is not in use. Leaving medication in the nebulizer can lead to contamination or improper dosing. The medication should be added only before each treatment.