A nurse is providing teaching to a client who has a prescription for oxygen administration at home. Which of the following statements should the nurse include in the teaching?
"Store oxygen cylinders on their side."
"Use two-prong electrical outlets in the room where oxygen is used”
"You can adjust the flow of your oxygen as needed."
"Notify your power company that oxygen is used in the home."
The Correct Answer is D
Rationale:
A. "Store oxygen cylinders on their side.": Oxygen cylinders should always be stored upright and secured to prevent tipping, rolling, or falling, which could damage the valve and create a fire hazard. Storing cylinders on their side increases the risk of accidents and is unsafe in the home setting.
B. "Use two-prong electrical outlets in the room where oxygen is used.": Electrical safety requires that outlets and devices used near oxygen be in good condition and free of sparks. The number of prongs is not the key concern; rather, all electrical equipment should be properly grounded and well-maintained to prevent ignition in an oxygen-rich environment.
C. "You can adjust the flow of your oxygen as needed.": Oxygen flow should only be adjusted according to the provider’s prescription. Changing the flow without guidance can result in hypoxia if decreased or oxygen toxicity if increased, making this statement unsafe and incorrect.
D. "Notify your power company that oxygen is used in the home.": Informing the power company is an important safety measure because home oxygen use increases fire risk. Utility companies can provide guidance on electrical safety, and emergency responders will be aware of the presence of oxygen in case of power outages or accidents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Severe abdominal pain: Severe abdominal pain is more characteristic of placental abruption, not placenta previa. Placenta previa typically causes painless bleeding rather than acute abdominal pain, so pain is not a primary expected finding.
B. Polyhydramnios: Excess amniotic fluid is unrelated to placenta previa and is associated with conditions like fetal anomalies, maternal diabetes, or multiple gestation. It is not a typical clinical finding in this condition.
C. Spotting: Painless vaginal bleeding, often bright red and intermittent, is the hallmark sign of placenta previa. Spotting or heavier bleeding occurs as the placenta overlies or partially covers the cervical os, especially during the third trimester.
D. Nausea: Nausea is a nonspecific symptom and is not directly associated with placenta previa. It may occur during normal pregnancy but does not indicate the presence of this placental condition.
Correct Answer is C
Explanation
Rationale:
A. Instruct the client to discard the medication in the toilet: Disposing of medication in the toilet is not a recommended first action, as it does not address the client’s question about safely taking a half dose. Safe disposal is only necessary for expired or unwanted medications.
B. Manually break the tablets in half: Manually breaking tablets without knowing if they are designed to be split can lead to inaccurate dosing and affect drug efficacy. Some medications are not safe to split due to extended-release properties or uneven distribution of active ingredients.
C. Determine if the tablets are scored: Scored tablets are specifically designed to be split, ensuring accurate dosing. The nurse should verify whether the medication is scored before advising the client to cut it, ensuring safety and effectiveness of the prescribed dose.
D. Ask the pharmacy to create a liquid version of the medication: While a liquid formulation may be appropriate for accurate dosing if the tablet cannot be safely split, the first step is to confirm whether the current tablet can be divided. The pharmacy can then provide alternatives if splitting is unsafe.
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