A nurse is caring for a client with chest pain. Laboratory Results

1300:

Cardiac troponin T less than 0.5 ng/mL (less than 0.1 ng/mL). LDL 110 mg/dL (less than 130 mg/dL).

Total cholesterol 230 mg/dL (less than 200 mg/dL).

Complete the following sentence by using the list of options: After notifying the provider, the nurse should first:

This is because the first priority for the nurse is to assess the cause of the vomiting and ensure that the NG tube is working properly. If the suction device is malfunctioning, it could lead to gastric distension, nausea and vomiting. The nurse should check the suction settings, tubing, canister and connections for any problems.

Choice A is wrong because replacing the NG tube is not the first action to take.

The nurse should first rule out other causes of vomiting before attempting to reinsert the tube, which could be uncomfortable and risky for the client.

Choice B is wrong because providing oral hygiene care is not the most urgent action to take.

While oral hygiene care is important for comfort and infection prevention, it does not address the underlying cause of vomiting or prevent further complications.

Choice C is wrong because administering an antiemetic medication is not the most appropriate action to take.

The nurse should first identify the cause of vomiting and correct it if possible.

Giving an antiemetic medication without resolving the problem could mask symptoms and delay treatment.

Nail polish remover contains acetone, which is a flammable substance that can ignite in the presence of oxygen. Using nail polish remover around the client can increase the risk of fire and burn injuries.

Choice A is wrong because synthetic fabrics can generate static electricity, which can also cause sparks and ignite oxygen.

The client’s bedding should be made of cotton or wool, which are natural fabrics that do not produce static electricity.

Choice B is wrong because petroleum jelly is a petroleum-based product that can react with oxygen and cause skin irritation or burns.

The client should use water-based moisturizers to soothe the mucous membranes.

Choice C is wrong because alcohol-based cleaning products are also flammable and can cause fires or explosions when exposed to oxygen.

The client should use mild soap and water to clean the equipment, and follow the manufacturer’s instructions for maintenance.

Some general safety tips for home oxygen therapy are:

• Keep away from heat and flame, such as candles, matches, lighters, stoves, fireplaces, etc.
• Do not smoke or allow others to smoke near the oxygen source
• Do not use aerosols, vapor rubs, oils, or other products that contain flammable substances near the oxygen source
• Store oxygen tanks or cylinders in a well-ventilated area away from direct sunlight and heat sources
• Secure oxygen tanks or cylinders to prevent them from falling or rolling
• Use the exact rate of oxygen prescribed by the doctor for each activity
• Check the oxygen gauge or level regularly and call the medical supply company when it is low
• Use a humidifier bottle if prescribed by the doctor to prevent dryness of the mucous membranes
• Change the nasal cannula, mask, and tubing as instructed by the medical supply company to prevent