A nurse is providing reinforcing discharge instructions to a client who has a prescription for oxygen use at home.
Which of the following information should the nurse include? (Select all that apply.)
Family members who smoke must be at least 10 ft from the client when oxygen is in use.
Nail polish remover or hair spray should not be used near a client who is receiving oxygen.
A "No Smoking" sign should be placed on the front door.
Cotton bedding and clothing should be replaced with items made from wool.
A fire extinguisher should be readily available in the home.
Correct Answer : D
Choice A rationale:
Tying the straps of the restraints in a double knot is incorrect. This action can make it difficult to quickly release the restraints in case of an emergency. A single, quick-release knot is recommended to ensure the client's safety.
Choice B rationale:
Tying the restraints to the side rails is incorrect. Attaching restraints to the side rails can cause injury to the client and is not a proper restraint application method. Restraints should be tied to the bed frame, not the side rails, to prevent harm.
Choice C rationale:
Placing the padding of the restraints against the client's bony prominences is incorrect. While padding is important to prevent skin breakdown and pressure ulcers, the correct placement of the padding alone does not indicate a comprehensive understanding of proper restraint application.
Choice D rationale:
Inserting one finger between the client's wrist and the restraint is the correct action. This technique ensures that the restraints are not too tight, allowing for proper circulation and preventing injury to the client. The ability to insert one finger indicates that the restraints are snug but not constrictive, maintaining the client's safety and comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Modified equivalents. This is not the correct answer. The abbreviation "mEq" stands for milliequivalents, not modified equivalents.
Choice B rationale:
Megaequivalents. This is not the correct answer. "Mega" is a prefix indicating a factor of one million. In the context of electrolytes and medications, milliequivalents (mEq) are the appropriate unit of measurement, not megaequivalents.
Choice C rationale:
Milliequivalents. This is the correct answer. Milliequivalents (mEq) are a measure of the chemical combining power of a substance. In medical contexts, mEq is often used to express the amount of electrolytes (such as potassium, sodium, calcium) in a solution or dosage form. It represents 1/1000th of an equivalent, which is the amount of a substance that can react with or replace one mole of hydrogen ions (H+) It is important for healthcare professionals to understand these units when dealing with medications and intravenous fluids, as incorrect administration can lead to serious health complications.
Choice D rationale:
Miniequivalents. This is not the correct answer. "Mini" is not a standard prefix used in the International System of Units (SI) The correct prefix for a thousandth of an equivalent is "milli," making milliequivalents the appropriate unit of measurement for substances like electrolytes.
Correct Answer is C
Explanation
Choice A rationale:
The suffix "-sclerosis" refers to abnormal hardening or thickening, not narrowing. For example, atherosclerosis involves the hardening and narrowing of arteries due to the buildup of plaque.
Choice B rationale:
The suffix "-rrhexis" refers to rupture or breaking. For instance, "angiorrhexis" refers to the rupture of a blood vessel, not narrowing.
Choice C rationale:
The suffix "-stenosis" specifically means narrowing. For example, "stenosis" refers to the abnormal narrowing of a passage in the body, such as a heart valve or a blood vessel. Understanding medical terminology suffixes is crucial for healthcare professionals to interpret various medical conditions accurately.
Choice D rationale:
The suffix "-ptosis" refers to the drooping or falling of a body part. For example, "blepharoptosis" refers to the drooping of the upper eyelid, not narrowing. .
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