Medical Surgical Obstructive Sleep Apnea (OSA) #2

Question

During rounds, the nurse notices her client on CPAP has a low oxygen saturation. Which action should the nurse take next?

Answers

  1. Adjust the CPAP settings.
    • Rationale:

      This answer is not correct because adjusting the CPAP settings requires an order. Also it is best to do the least invasive first.

  2. Auscultate the client's lung sounds.
    • Rationale:

      This answer is not correct because it is not the action the nurse should take next. Checking the equipment should come first since a loose mask can cause an air leak.

  3. Assess the client's respiratory rate.
    • Rationale:

      This answer is not correct because usually a low O2 while wearing CPAP is due to loose mask straps. Assessing the client’s respiratory rate is not the key action the nurse should take.

  4. Check mask and strap tightness.
    • Rationale:

      This answer is correct because the first key action for a client on CPAP with a low O2 sat is to check tightness of the strap and mask. During the night, movement by the client can loosen the straps. By assessing the mask and straps, you can prevent air leaks.

Overview

During the night, the CPAP mask position can cause an air leak due to the client movement. The first action the nurse should take is to check the mask and strap tightness.

Explanation

Learning Outcomes

During the night, the CPAP mask position can cause an air leak due to the client movement. The first action the nurse should take is to check the mask and strap tightness. During the night movement by the client can loosen the straps. By assessing the mask and straps, you can prevent air leaks.

Test Taking Tip

Remember this catchphrase: “Check mask strappy for a client on c-pappy with low satty.”

Video Rationale