A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following should the nurse include in the teaching?
“Check your oxygen equipment once each week.”
“Do not adjust the oxygen flow rate.”
“Store unused oxygen tanks horizontally.”
“Keep wool blankets on your bed”
The Correct Answer is B
A. “Check your oxygen equipment once each week.”
Checking the oxygen equipment once a week is insufficient. The equipment should be regularly inspected for safety, including tubing, connections, and the condition of the oxygen concentrator or tank.
B. “Do not adjust the oxygen flow rate.”
The nurse should include in the teaching that the client should not adjust the oxygen flow rate without consulting their healthcare provider. Adjusting the oxygen flow rate without proper guidance can lead to inappropriate oxygen delivery, which may be harmful.
C. “Store unused oxygen tanks horizontally.”
Oxygen tanks should be stored in an upright position to prevent damage to the tank valve. Storing them horizontally can increase the risk of leaks or damage.
D. “Keep wool blankets on your bed.”
Wool blankets and other items that generate static electricity should be avoided near oxygen equipment, as they can increase the risk of fire. The client should be advised to use non-static bedding and clothing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Prepare to administer a sedative:
Administering a sedative is not the priority in this situation. The client is experiencing shortness of breath, tachycardia, and hypoxemia, indicating a respiratory issue that needs immediate attention. Sedation can further depress the respiratory drive and exacerbate the hypoxemia.
B. Assess for indications of pulmonary embolism:
While the client's symptoms could be related to a pulmonary embolism, the priority at this moment is to address the immediate respiratory distress. Administering oxygen is crucial before further diagnostic assessments can take place. Once the client is stabilized, additional assessments can be performed to explore the cause of the symptoms.
C. Administer oxygen via face mask:
This is the correct and priority intervention. The client is hypoxic (SaO2 86%) with a low PaO2 and high respiratory rate. Administering oxygen via a face mask aims to improve oxygenation and relieve the hypoxemia associated with the respiratory distress.
D. Prepare for mechanical ventilation:
Mechanical ventilation may be considered if the client's respiratory distress is severe and not responsive to oxygen therapy. However, the immediate step is to administer oxygen via a face mask. If the client's condition does not improve with oxygen therapy, mechanical ventilation may be the next step.
Correct Answer is A
Explanation
A. “I have not received any of my medications today.”
The statement "I have not received any of my medications today" requires follow-up from the nurse because it indicates a potential issue with the client's medication administration. It's important to ensure that the client receives the prescribed medications in a timely manner.
B. “Do you know when I will be going home?”
This is a question about the discharge plan and does not indicate an immediate issue that requires follow-up.
C. “I do not know how to make the remote control work.”
While it's a statement about the client's understanding of the remote control, it is not an urgent matter that requires immediate attention.
D. “My dressing was changed earlier this morning.”
This statement indicates that a care task (dressing change) has been completed and does not suggest a problem that requires urgent follow-up.
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