Question

A client who was admitted with chest pain and shortness of breath has a standing order for oxygen via mask. Standing orders for oxygen mean that the nurse can apply oxygen at: A. \(2 \mathrm{~L}\) per minute B. \(6 \mathrm{~L}\) per minute C. \(10 \mathrm{~L}\) per minute D. \(12 \mathrm{~L}\) per minute

Short answer

Answer: C. \(10 \mathrm{~L}\) per minute

Step-by-step solution

Analyze answer choices

Analyze the provided answer choices, keeping in mind that there will only be one correct amount of oxygen per minute as per standing order: A. \(2 \mathrm{~L}\) per minute B. \(6 \mathrm{~L}\) per minute C. \(10 \mathrm{~L}\) per minute D. \(12 \mathrm{~L}\) per minute

Consider oxygen administration ranges

Typically, medical professionals administer oxygen at various rates depending on the severity of the condition and the individual needs of the client. Initially, a lower amount of oxygen per minute may be provided, with the amount increased as needed.

Eliminate unsuitable options

Options A and B represent relatively low ranges of oxygen administration. Clients admitted with chest pain and shortness of breath might require a higher level of oxygen support. Thus, options A and B can be eliminated.

Choose the appropriate oxygen flow rate

Comparing the remaining options, C (\(10 \mathrm{~L}\) per minute) and D (\(12 \mathrm{~L}\) per minute), option C is more suitable. A client is more likely to receive oxygen at \(10 \mathrm{~L}\) per minute as per standing order, as it falls within a more common range for moderate to severe cases. Option D, on the other hand, represents a relatively high flow rate and is more likely to be used in severe cases of respiratory distress.

Select the correct answer

Based on the analysis of the answer choices and typical oxygen flow rates for clients experiencing chest pain and shortness of breath, option C (\(10 \mathrm{~L}\) per minute) is the correct oxygen flow rate per standing order.

Key concepts

Oxygen Flow Rate

Oxygen flow rate is a crucial component in the management of patients with respiratory difficulties, such as those experiencing chest pain and shortness of breath. The amount of oxygen administered per minute is termed the flow rate, which is usually measured in liters. Correctly determining the flow rate is essential to ensure sufficient oxygenation without causing oxygen toxicity or other complications.

• Low flow rates: Typically ranging from 1 to 5 liters per minute. These are often used for patients with mild cases or those requiring long-term oxygen therapy.
• Moderate flow rates: Around 6 to 10 liters per minute, as is recommended for patients with acute symptoms like significant chest pain and breathing difficulties.
• High flow rates: Up to 15 liters per minute or more, generally reserved for cases of severe respiratory distress or during emergencies.

For patients with chest pain, administering oxygen at a rate of around 10 liters per minute helps improve oxygen delivery to the myocardium, which can alleviate symptoms of ischemia. It is crucial for nurses to monitor the patient's response and adjust the flow rate as necessary.

Nursing Orders

Nursing orders encompass a variety of directives that guide patient care, including medication administration, dietary modifications, and oxygen therapy. These orders can be standing, meaning they are pre-approved and can be initiated by a nurse without needing further physician confirmation at the moment.
In emergency situations, such as those involving chest pain or respiratory distress, standing orders for oxygen can expedite treatment. Nurses must be well-versed in interpreting and executing these orders appropriately to ensure timely care.

• Consistency: Following standing orders ensures standardized care across different cases, allowing for quicker decision-making.
• Training: Continuous education is essential to keep nursing staff updated on potential changes or specific nuances in standing orders.
• Collaboration: Nurses should coordinate care with physicians and other healthcare professionals to adjust treatment plans as needed.

By effectively utilizing nursing orders, especially in managing oxygen therapy, nurses play a vital role in improving patient outcomes in urgent care contexts.

Chest Pain Management

Managing chest pain effectively is a cornerstone of patient care, particularly in acute settings. Chest pain can arise from various conditions, such as angina, myocardial infarction, or respiratory issues, necessitating prompt and appropriate interventions. Oxygen therapy is one measure used to manage chest pain. By increasing the supply of oxygen to the heart, it helps to reduce the workload on the heart muscle and alleviate pain associated with ischemia. This strategy is particularly effective for patients presenting with suspected cardiac issues.

• Initial Assessment: Rapidly assessing vital signs, patient history, and symptom presentation helps in determining the urgency and type of intervention required.
• Symptom Relief: Besides oxygen, medications like nitroglycerin may be administered to manage pain and improve heart function.
• Monitoring: Continuous monitoring of the patient’s condition is crucial to observe any changes and to adjust treatment accordingly.

Managing chest pain involves a holistic approach, combining both pharmacological and non-pharmacological strategies, making it a dynamic and ongoing process of care by healthcare professionals.