Thursday, January 18, 2024

A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%.. Non-rebreather mask



A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%.

Which mode of oxygen delivery would most likely reverse the manifestations?
  • A. Simple mask
  • B. Non-rebreather mask
  • C. Face tent
  • D. Nasal cannula

Based on the presented scenario, the most likely mode of oxygen delivery to reverse the manifestations of the male client would be: B. Non-rebreather mask.

Here's why:

- The client's condition is severe:

With an arterial oxygen saturation of 88%, the client is experiencing moderate to severe hypoxemia, requiring prompt intervention.

- Simple mask and face tent offer lower FiO2 (fraction of inspired oxygen):

While both can deliver supplemental oxygen, they typically offer a maximum FiO2 of around 40-50%, which may not be sufficient for this client's needs.

-Nasal cannulae offer even lower FiO2:

Their maximum FiO2 is around 28-40%, making them inadequate for addressing moderate to severe hypoxemia. 

- Non-rebreather mask delivers higher FiO2:

A non-rebreather mask can deliver up to 90% FiO2, providing a higher concentration of oxygen compared to other options. It also has a reservoir bag that reduces rebreathing of exhaled CO2, improving oxygen delivery further.

Therefore, considering the seriousness of the client's hypoxemia and the need for a higher FiO2, a non-rebreather mask is the most appropriate choice for this specific situation.

It's important to note that this is a general recommendation based on the limited information provided. The actual treatment should be determined by a qualified healthcare professional who can assess the patient's full clinical picture and provide the most appropriate care.