A nurse is providing care for a client who has a prescription for home oxygen. Which of the following instructions should the nurse include?
Post a “No Smoking” sign in the home.
Attach oxygen containers to a fixed object.
Store spare oxygen tanks in a closet.
Notify the fire department that oxygen is used in the home.
Ensure oxygen tubing is no longer than 60 feet in length.
The Correct Answer is A
A: Posting a “No Smoking” sign in the home is crucial for safety when using home oxygen. Oxygen can accelerate combustion, making even a small spark potentially dangerous. This sign serves as a constant reminder to avoid smoking and open flames near the oxygen source.
B: Attaching oxygen containers to a fixed object is important to prevent them from falling over and potentially causing damage or leaks. However, this is not the most critical instruction compared to ensuring no smoking around oxygen.
C: Storing spare oxygen tanks in a closet is not recommended. Oxygen tanks should be stored in a well-ventilated area to prevent the buildup of oxygen, which could increase the risk of fire.
D: Notifying the fire department that oxygen is used in the home is a good safety measure. It ensures that emergency responders are aware of the presence of oxygen, which can affect their approach in case of a fire. However, it is not as immediate a safety measure as posting a “No Smoking” sign.
E: Ensuring oxygen tubing is no longer than 60 feet in length is important to maintain adequate oxygen flow and prevent tripping hazards. However, this is a secondary safety measure compared to preventing smoking around oxygen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Lowering the head of the client’s bed is not appropriate in this situation. It does not address the safety concern related to swallowing.
B: Checking the client’s gag reflex is the correct action. This ensures that the client can safely swallow ice chips without the risk of aspiration.
C: Removing the client’s peripheral IV is not related to the request for ice chips and is unnecessary unless there is a specific reason to do so.
D: Checking the client for bladder distention is not relevant to the request for ice chips and does not address the immediate concern of safe swallowing.
Correct Answer is D
Explanation
A: Checking the dosage with a more experienced nurse is not the best action. While it may provide some guidance, it does not ensure the accuracy of the order.
B: Consulting a drug handbook and administering the normal dose is not appropriate. The nurse must verify the specific order for the patient rather than assuming a standard dose.
C: Contacting the hospital pharmacist about the order can be helpful, but the pharmacist may not be able to clarify the prescriber’s intent if the order is illegible.
D: Contacting the health care provider to clarify the illegible order is the best action. This ensures that the nurse administers the correct dose as intended by the prescriber, preventing medication errors.
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