💊 NCLEX-RN Exam Prep

A nurse is assessing a client receiving oxygen therapy via nasal cannula at 4 L/min. What is the most important intervention to ensure client safety and comfort?

A Encourage deep breathing and coughing exercises every hour.
B Assess the client's skin for breakdown over the ears and nares.
C Monitor arterial blood gases (ABGs) every 4 hours.
D Limit oral fluid intake to prevent fluid overload.

✓ Correct Answer: Option B

The nasal cannula tubing can cause pressure injury and skin breakdown on the ears, nares, and face, especially with prolonged use. Regular assessment and protective padding are crucial.

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