A home health nurse is educating a client who has COPD and is to start using home oxygen via nasal cannula. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
"I should use wool blankets on my bed when I'm using the oxygen."
"I should keep the oxygen delivery system at least 3 feet from a heating vent."
"I should apply petroleum jelly to the nasal cannula prongs to prevent irritation."
"I should check the flow rate of my oxygen each day."
The Correct Answer is D
Choice A is wrong because: Using wool blankets can generate static electricity, which can be a fire hazard.
Choice B The oxygen delivery system should be placed at least 5 feet, not 3, away from a heating vent to prevent fire.
Choice C is wrong because: Petroleum jelly should not be used with oxygen therapy because it is flammable.
Choice D Checking the flow rate of oxygen daily is important as it ensures that the client is receiving the recommended therapy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C because, "Review the immunization records of the child's classmates." Koplik spots are a sign of measles, a highly contagious viral illness. Reviewing the immunization records of the child's classmates can help determine if there is an outbreak and assist in preventing further spread of the illness. Checking the child's classmates for parotid gland enlargement (Choice A is wrong because) is not relevant because it is a sign of mumps, a different illness. Asking the caregivers if the child recently used alcohol-based mouthwash (Choice B is wrong because) and instructing the caregivers to increase the child's Vitamin B12 intake (Choice D is wrong because) are not relevant because they do not relate to the presence of Koplik spots.
Choice A is wrong because: Checking the child's classmates for parotid gland enlargement is not relevant because it is a sign of mumps, not measles.
Choice B is wrong because: Asking the caregivers if the child recently used alcohol-based mouthwash is not relevant to the presence of Koplik spots.
Choice D is wrong because: Instructing the caregivers to increase the child's Vitamin B12 intake is not relevant to the presence of Koplik spots.
Correct Answer is A
Explanation
The correct answer is Choice A because, "I am obese because it's in my genes." The client is using rationalization as a coping mechanism by justifying their obesity as being predetermined by their genes, rather than acknowledging their personal responsibility in managing their weight. Rationalization is a defense mechanism in which a person gives a false or socially acceptable explanation for an unacceptable behavior or situation.
Choice B is wrong because, "I have difficulty resisting the items in vending machines," is not the correct answer because it is an excuse rather than a rationalization.
Choice C is wrong because, "I know you don't like me because I am obese," is not the correct answer because it is an example of projection, in which the client attributes their own feelings of dislike to others.
Choice D is wrong because, "I have lots of health problems from being obese," is not the correct answer because it is a justification, not a rationalization
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