The nurse is providing safety instructions to a client who is being discharged home with oxygen therapy. Which information provided by the client indicates understanding?
Remove tubing while eating.
Keep the tank in a cool place.
Avoid direct skin contact.
Place a pad around the tank.
The Correct Answer is C
C. Oxygen is a highly combustible gas, and direct contact with oil or grease can increase the risk of fire. Therefore, avoiding direct skin contact helps minimize this risk.
A. Clients should not remove the oxygen tubing while eating. It’s essential to continue oxygen
therapy during meals to maintain adequate oxygen levels.
B. Oxygen tanks should be stored in a well-ventilated area but not in a confined space. Avoid extreme temperatures (both hot and cold) and direct sunlight.
D. Although it’s essential to secure oxygen tanks to prevent tipping, placing a pad around the
tank is not a standard safety practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. When the oxygen saturation is lower than expected, the nurse's first action should be to verify the accuracy of the reading by ensuring the proper placement and functioning of the pulse oximeter. This involves checking that the pulse oximeter probe is securely attached to the client's finger or other appropriate site and that there are no obstructions or interference affecting the reading.
A. A non-rebreather mask delivers higher concentrations of oxygen compared to a nasal cannula and is typically used when a client requires higher levels of oxygen supplementation. However, switching to a non-rebreather mask may not be appropriate without further assessment.
C. Increasing the oxygen flow rate to 3 L/minute would deliver a higher concentration of oxygen to the client, potentially improving oxygen saturation. However, increasing the oxygen flow should be done cautiously and based on clinical assessment to avoid oxygen toxicity.
D. Removing the nasal cannula would deprive the client of supplemental oxygen, which may not be appropriate if the client's oxygen saturation is already low. Oxygen supplementation is typically provided to improve oxygenation and support vital organ function.
Correct Answer is D
Explanation
D. Given the client's history of vomiting, diarrhea, and difficulty tolerating oral fluids, there's a likelihood of dehydration. Dehydration typically results in an increase in urine specific gravity due to the kidneys conserving water.
A. (1.015) and B (1.025) are within the reference range and would be more typical values for adequately hydrated individuals.
C. (1.005) is at the lower end of the reference range and would not be expected in a dehydrated individual.
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