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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Erythema (redness) and serosanguineous exudate (clear to blood-tinged fluid) are typical findings in the early stages of wound healing, especially within the first few days post-surgery. However, one week post-surgery, these signs should begin to decrease as the wound progresses through the inflammatory phase of healing.

B. Eschar (dry, black, or brown necrotic tissue) and slough (yellow or white soft tissue) are indicative of non-viable tissue and delayed wound healing.

C. Beefy red granulation tissue is a positive sign of healing. It indicates new tissue formation, which is essential for the healing process. Granulation tissue is typically moist, and its presence suggests that the wound is progressing well towards healing.

D.This indicates that the edges of the incision are properly closed and healing as expected.

A. Places food on the unaffected side of the mouth. B. Allows 30 minutes of rest before feeding. C. Raises the head of the bed to 60 degrees. D. Positions the head with the chin tilted slightly downward.

Correct Answer is B

Explanation

B. Allowing a period of rest before feeding is not a standard practice for individuals at risk for aspiration and may not address the underlying issues related to dysphagia or aspiration risk. A, C, D- are appropriate positions during feeding for clients with stroke to prevent choking/aspiration.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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