How often must you or an assistant check on a patient who is restrained?
Every 45 minutes.
Every 30 minutes.
Every hour.
Every 2 hours.
Correct Answer : A,B,C,E
Choice A rationale:
Family members who smoke must be at least 10 ft from the client when oxygen is in use. Oxygen supports combustion, and smoking near an oxygen source can lead to a fire. Keeping family members who smoke at a safe distance minimizes this risk.
Choice B rationale:
Nail polish remover or hair spray should not be used near a client who is receiving oxygen. These substances contain flammable ingredients, which can ignite in the presence of oxygen. Instructing the client and those around them to avoid using such products prevents potential accidents.
Choice C rationale:
A "No Smoking" sign should be placed on the front door. This serves as a visual reminder to visitors and family members that smoking is prohibited in the vicinity, reducing the risk of fire when oxygen is in use. Clear communication through signage is essential in maintaining a safe environment.
Choice E rationale:
A fire extinguisher should be readily available in the home. Despite precautions, accidents can still happen. Having a fire extinguisher nearby allows for immediate response in case of a fire-related emergency, ensuring the safety of the client and those around them.
Choice D rationale:
Cotton bedding and clothing should be replaced with items made from wool. This statement is incorrect. There is no specific requirement to replace cotton items with wool for a client using oxygen. Instead, the focus should be on fire safety measures and ensuring that flammable materials are kept away from the oxygen source.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice D rationale:
Performing strict hand washing before and after the care of each client is the most effective method to reduce healthcare-associated infections (HAIs) Hand hygiene is a critical component of infection prevention and control. Proper hand washing helps eliminate the spread of pathogens from one patient to another, as well as from patients to healthcare providers and vice versa. The rationale behind this choice lies in the fact that many infections are transmitted via contaminated hands. By washing hands thoroughly with soap and water or using hand sanitizer, healthcare providers can significantly reduce the risk of HAIs. It is essential to perform hand hygiene before and after every patient contact, after exposure to body fluids, and after touching patient surroundings.
Choice A rationale:
Providing small bedside bags to dispose of used tissues addresses a specific aspect of infection control (proper disposal of contaminated items) While this practice is important, it does not cover the comprehensive approach of standard precautions, which includes various infection prevention measures. Using bedside bags for tissue disposal is not a substitute for strict hand hygiene or the use of personal protective equipment.
Choice B rationale:
Instructing staff members to wear masks while providing care is important in specific situations, such as when dealing with patients on airborne precautions. However, it does not cover all aspects of infection prevention. Masks are just one component of personal protective equipment (PPE) and are used in addition to other measures like gloves and gowns, depending on the type of isolation precautions required for a particular patient. Moreover, the most crucial aspect of infection prevention remains hand hygiene.
Choice C rationale:
Administering antibiotics as ordered is a medical intervention for treating infections, not a preventive measure to reduce healthcare-associated infections (HAIs) While appropriate use of antibiotics is essential in the treatment of bacterial infections, it does not address the broader issue of preventing the spread of infections within healthcare settings. In fact, overuse or misuse of antibiotics can lead to antibiotic resistance, making infections harder to treat in the future.
Correct Answer is C
Explanation
Choice A rationale:
Pulse pressure is the difference between systolic and diastolic blood pressure and is not related to changing positions or the symptoms described in the scenario.
Choice B rationale:
Essential hypertension is a chronic medical condition characterized by elevated blood pressure levels persistently exceeding 140/90 mmHg. It is not directly related to positional changes or postural hypotension symptoms.
Choice C rationale:
Postural (orthostatic) hypotension occurs when a person experiences a sudden drop in blood pressure upon standing up from a sitting or lying position. This drop in blood pressure can lead to symptoms such as dizziness, lightheadedness, and fainting. Slowly changing positions is essential in managing postural hypotension because abrupt movements can worsen these symptoms. Educating the client about the importance of gradual position changes is crucial in preventing or minimizing postural hypotension-related symptoms.
Choice D rationale:
Pre-hypertension refers to blood pressure levels that are higher than normal but not high enough to be diagnosed as hypertension. It does not directly relate to the symptoms described in the scenario.
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