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When should oxygen therapy be initiated by the nurse?
Asked on Oct 30, 2025
Answer
Oxygen therapy should be initiated by the nurse when a patient exhibits signs of hypoxemia, such as low oxygen saturation levels, difficulty breathing, or cyanosis, and when ordered by a healthcare provider. It is essential to assess the patient's respiratory status and use tools like pulse oximetry to guide oxygen therapy decisions.
Example Nursing Steps:
- Step 1 – Assess the patient's oxygen saturation using a pulse oximeter and observe for signs of respiratory distress.
- Step 2 – Administer oxygen as prescribed, ensuring the correct delivery device and flow rate are used.
- Step 3 – Monitor the patient's response to oxygen therapy, reassess oxygen saturation, and document findings and interventions.
Additional Comment:
- Oxygen therapy is typically indicated when oxygen saturation falls below 90% on room air.
- Use the ABCs (Airway, Breathing, Circulation) to prioritize interventions in acute situations.
- Always follow facility protocols and provider orders when initiating oxygen therapy.
- Be aware of potential oxygen toxicity and adjust therapy as needed based on continuous assessment.
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