A nurse is providing discharge teaching for a client who will be receiving oxygen therapy at home. Which of the following instructions should the nurse include in the teaching?
"You should use woolen blankets on your bed."
"You should purchase a fire extinguisher for your home.
"You will no longer be able to use an electric razor.”
"Family members who smoke must do so at least 6 feet away from the oxygen tank.”
The Correct Answer is B
A. "You should use woolen blankets on your bed": Woolen blankets are highly flammable and pose a fire risk when oxygen is in use. Clients should avoid using woolen or synthetic materials near oxygen tanks and instead use materials that are less likely to catch fire.
B. "You should purchase a fire extinguisher for your home": Oxygen is highly flammable, and having a fire extinguisher readily available in the home is crucial for safety. The nurse should encourage the client to keep a fire extinguisher nearby in case of any oxygen-related fire emergencies.
C. "You will no longer be able to use an electric razor": Electric razors are safe to use while on oxygen therapy, as they are not typically a fire hazard. However, clients should avoid using razors that require flammable substances, such as shaving cream, around oxygen.
D. "Family members who smoke must do so at least 6 feet away from the oxygen tank": Smoking near oxygen tanks is extremely dangerous, and family members should avoid smoking entirely in areas where oxygen is in use. It is important to maintain a safe distance of at least 10 feet or more from oxygen sources when smoking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Double-bag the linens: When a client is on contact precautions, it is necessary to place soiled linens in a sealed bag to prevent contamination. Double-bagging the linens ensures that the exterior bag does not become contaminated and that the linens are securely contained.
B. Rinse the linens prior to removing them from the client's room: Rinsing the linens is not required when removing soiled linens. The main concern is preventing contamination, and double-bagging ensures that the linens are safely contained.
C. Tie the linens' bag securely at the top: While it is important to securely close the bag, double-bagging is the key step in preventing contamination. Tying the bag is part of the process, but it is not the primary focus for contact precautions.
D. Wear sterile gloves when handling the linens: Sterile gloves are not necessary for handling soiled linens in contact precautions. Clean gloves are sufficient to handle linens. Sterile gloves are typically used for invasive procedures, not for routine linen handling.
Correct Answer is D
Explanation
A. Oral temperature 37.4°C (99.3°F): This is a low-grade fever and is generally not concerning unless it increases or persists. It could be related to the body’s response to surgery but does not require immediate reporting to the provider.
B. BP 130/84 mm Hg: This is a normal blood pressure for most adults and does not indicate an issue. There is no immediate concern for the nurse to report this to the provider.
C. Heart rate 88/min: A heart rate of 88 beats per minute is within normal range for an adult and does not require reporting to the provider.
D. Respiratory rate 10/min: A respiratory rate of 10/min is significantly below the normal range for an adult (12-20 breaths per minute) and could indicate respiratory depression, a common side effect of opioid analgesics. This is a serious finding and should be reported to the provider immediately for further evaluation and intervention.
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