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A client with coronary artery disease has a sudden episode of cyanosis and a change in respirations. The nurse starts oxygen administration immediately. Legally, should the nurse have administered the oxygen?

A client with coronary artery disease has a sudden episode of cyanosis and a change in respirations. The nurse starts oxygen administration immediately. Legally, should the nurse have administered the oxygen? Correct Answer The nurse’s observations were sufficient, and therefore oxygen should have been administered.

  • Oxygen is usually considered to be a drug requiring a medical prescription and is subject to any law that covers its use and prescription.
  • Administration of oxygen is typically authorized by a physician following legal written instructions to a qualified nurse.
  • Although all medications require a prescription, oxygen therapy also needs to be given as per the physicians prescription but in case of emergency initiated without a physician’s order.
  • The most common reasons for initiating oxygen therapy include acute hypoxemia related to
    • pneumonia
    • shock
    • asthma
    • heart failure
    • pulmonary embolus
    • myocardial infarction resulting in hypoxemia
    • post operative states
    • pneumonthorax
    • abnormalities in the quality and quantity of hemoglobin

​There are no contradictions to oxygen therapy if indications for therapy are present.

 

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