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Explain alternatives to the procedure to the client:This is the responsibility of the provider, not the nurse. The provider must explain the risks, benefits, and alternatives.

Inform the client about what will occur during the procedure:This is also the provider’s duty. The provider is responsible for giving a thorough explanation of the procedure.

Discuss the risks of the procedure with the client:Discussing risks is the provider’s responsibility during the informed consent process.

Use petroleum-based ointments to moisturize lips:Petroleum products are flammable and should not be used near oxygen.

It’s safe to store oxygen tanks next to an electric stove:Oxygen supports combustion. Tanks should be kept at least 5–10 feet away from heat sources like stoves.

Choose a wool blanket when using oxygen:
Wool and synthetic fabrics can generate static electricity, increasing fire risk. Use cotton blankets instead.

Obtain the specimen from the client in the evening:The best time is early morning, when secretions have accumulated overnight.

Save the sputum specimen in a clean container:A sterile container is required for sputum collection to avoid contamination.

Collect the sputum specimen after a meal:Collecting after a meal increases the risk of vomiting or aspiration. Specimen should be collected before meals.

Fibromyalgia:This is a chronic pain condition that persists over time and is not directly related to tissue injury.

Peripheral neuropathy:This is chronic neuropathic pain, often associated with conditions like diabetes.

Rheumatoid arthritis:RA involves chronic inflammatory pain, not acute pain.

Numbness:Not a common sign of thrombophlebitis. May indicate nerve compression, not vein inflammation.

Pallor:Pallor suggests arterial issues, such as poor perfusion. Thrombophlebitis affects veins, typically not causing pallor.

Cool skin:Cool skin is also associated with arterial insufficiency. In thrombophlebitis, the area may be warm and tender.

Metallic taste in mouth:This is not a typical sign of oxygen toxicity. A metallic taste may be associated with certain medications or exposure to metals.

Facial flushing:Not a characteristic symptom of oxygen toxicity. Facial flushing is more commonly linked to fever or certain medication reactions.

Periorbital edema:Swelling around the eyes may suggest fluid overload or renal issues, not oxygen toxicity.

A nonrebreather mask should not have a reservoir bag attached:A nonrebreather mask must have a reservoir bag, which stores oxygen to deliver high concentrations.

A nonrebreather delivers the most precise oxygen concentration with humidity added:The Venturi mask delivers the most precise oxygen concentration. Nonrebreathers do not add humidity and are not as precise.

A nonrebreather mask does not impact eating or drinking:The design of the mask covers the mouth and nose, making eating and drinking impractical while in use.

Diarrhea:Vomiting usually leads to fluid loss through emesis, not diarrhea. Diarrhea is a separate GI issue.

Peripheral edema:Edema indicates fluid retention, not loss. Vomiting causes fluid depletion, not accumulation.

Urinary frequency:Vomiting leads to fluid loss, so urinary output is typically decreased, not increased.

Check the client's blood pressure:Circulation is assessed after ensuring the airway and breathing are adequate.

Check the client's level of pain:Pain assessment is important, but it is secondary to vital physiologic stability (airway, breathing, circulation).

Check the client's level of consciousness:
Important in recovery from anesthesia, but not prioritized over breathing assessment.

Reposition the client and offer her a back rub:Non-pharmacologic interventions are helpful, but only after assessing the pain level.

Determine the time the client last received pain medication:This is done after establishing the pain score to decide on safe administration of further analgesia.

Measure the client's vital signs, including temperature:Vital signs may help assess systemic complications, but they do not measure pain directly.