Assessing the client\ s respiratory status, orientation, and skin color-rationale: a nonrebreather mask can deliver high concentrations of oxygen to the client in acute respiratory distress. assessment of a clients status is a priority for determining the effectiveness of therapy. there is no need for the nurse to post a no smoking sign over the clients bed. smoking is a fire hazard and is prohibited in hospitals regardless of whether the client is receiving oxygen from a nonrebreather mask. oil-based lubricants can cause pneumonia by promoting bacteria growth. equipment should be changed daily, but this is a lower priority than assessing respiratory status, orientation, and skin color.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: applicationreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 724.