A client with COPD exacerbation has an SpO2 of 86% on room air. The provider orders oxygen at 6 L/min via nasal cannula. What is the best nursing action?

Question

Accepted Answer

C. Apply oxygen, monitor for CO2 retention, and titrate to the lowest flow that meets the target saturation — Clients with COPD can retain CO2; oxygen is still given, but it should be titrated and closely monitored. Use the lowest O2 flow that achieves the ordered/target SpO2 (often around 88–92% unless otherwise prescribed) and watch mental status/ABGs.

Answer

A. Apply oxygen as ordered and do not reassess to avoid anxiety

Answer

B. Refuse to apply oxygen because it will stop the client’s breathing

Answer

D. Switch immediately to a nonrebreather at 15 L/min