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Chapter 22: Problem 57

The physician has ordered hyperbaric oxygen therapy for a client with a stage III diabetic ulcer. Before instituting the therapy, the nurse should: A. Ask the client whether she has a pacemaker B. Determine the client's weight C. Assess the client's ability to lie still for an hour D. Determine the client's tolerance of enclosed spaces

Short Answer

Expert verified
Answer: Determine the client's tolerance of enclosed spaces.

Step by step solution

01

Analyze Option A

Ask the client whether she has a pacemaker. Although having a pacemaker might be a contraindication for some treatment modalities, a pacemaker is usually not a major concern when it comes to hyperbaric oxygen therapy because modern pacemakers are designed to withstand various conditions, such as increased pressure. Therefore, this is not the most appropriate action.
02

Analyze Option B

Determine the client's weight. While it is true that the client's weight is essential to consider when calculating many medication dosages, it is not the most important factor to consider before initiating hyperbaric oxygen therapy.
03

Analyze Option C

Assess the client's ability to lie still for an hour. Hyperbaric oxygen therapy sessions typically last for 60-90 minutes per session, and it is crucial for the client to be able to tolerate lying still for extended periods inside the hyperbaric chamber. This is an important consideration before initiating the therapy.
04

Analyze Option D

Determine the client's tolerance of enclosed spaces. This is another crucial factor to consider because the client will be enclosed in a hyperbaric chamber, which is a small and tightly sealed space. If the client suffers from claustrophobia or a general fear of enclosed spaces, she might not tolerate the treatment well.
05

Select the most appropriate action

Based on the analysis of each option, the most important factors to consider before initiating hyperbaric oxygen therapy in this case are the client's ability to lie still for an hour (Option C) and her tolerance of enclosed spaces (Option D). Options A and B are not as crucial to consider. Given the fact that the exercise requests a single answer, Option D is the most appropriate action, as it takes into account the therapy's environment, which is essential for ensuring the client's safety and comfort during the treatment.

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