A home health nurse is reviewing safety with the family of a client who uses home oxygen therapy. Which of the following information should the nurse include?

Increase the oxygen flow rate by 1 L if the client experiences dyspnea.

Replace cotton blankets with wool and synthetic blankets.

Store oxygen tanks on their side when not in use.

Notify the fire department that oxygen is in use in the home.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Increase the oxygen flow rate by 1 L if the client experiences dyspnea: Oxygen therapy should be adjusted according to the prescribed rate by the healthcare provider. Dyspnea should be assessed, but changes in oxygen flow require professional supervision.

B. Replace cotton blankets with wool and synthetic blankets: Cotton is a safer material for individuals using oxygen therapy, as wool and synthetic fibers are more likely to generate static electricity, increasing the risk of fire. Cotton is less flammable and more appropriate.

C. Store oxygen tanks on their side when not in use: Oxygen tanks should be stored upright to ensure stability and prevent the valve from becoming damaged. Storing them on their side can lead to dangerous situations, such as the tank rolling or the valve being compromised.

D. Notify the fire department that oxygen is in use in the home: Notifying the fire department is an important safety measure when using oxygen therapy. Oxygen is highly flammable, and it is critical for the fire department to be aware of its presence in the home in case of an emergency.

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Correct Answer is A

Explanation

Rationale:

A. Hematochezia: The passage of fresh blood in the stool, is a common symptom of colon cancer, especially when the tumor is located in the lower colon or rectum. Results from bleeding from the tumor and should be monitored in clients with a new diagnosis.

B. Elevated haemoglobin: An elevated hemoglobin level is not typical in colon cancer. Colon cancer often leads to chronic blood loss, which can cause anemia and result in a low hemoglobin level rather than an elevated one.

C. Weight gain: Weight loss, rather than weight gain, is more commonly seen in clients with colon cancer due to decreased appetite, malabsorption, or the metabolic effects of the cancer. Weight gain is not a typical finding associated with colon cancer.

D. Steatorrhea: Steatorrhea, or fatty stools, is more commonly associated with pancreatic or biliary disease rather than colon cancer. While colon cancer can cause digestive disturbances, steatorrhea is not typically expected.

A. "We will change the dressing daily." B. "We can measure your blood pressure in either arm." C. "We will replace the PICC every month." D. "We can draw blood samples from the PICC for diagnostic tests."

Correct Answer is D

Explanation

Rationale:

A. "We will change the dressing daily." The dressing for a PICC is typically changed every 7 days, or sooner if it becomes wet or soiled. Changing it daily is not necessary unless there is a specific indication for more frequent changes, such as infection or drainage.

B. "We can measure your blood pressure in either arm." It is not recommended to measure blood pressure in the arm with the PICC line as this could increase the risk of complications, such as dislodging the catheter or causing discomfort. BP should be measured in the opposite arm.

C. "We will replace the PICC every month." It is a long-term catheter, used for several months, unless there are complications or it needs to be replaced due to malfunction or infection. Regular assessments and care are necessary, but replacement is not routine monthly.

D. "We can draw blood samples from the PICC for diagnostic tests." The PICC line is often used for drawing blood samples, as it provides easy access to the central venous system. Blood can be drawn from the PICC for diagnostic tests, which is one of its primary uses in chemotherapy patients.

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A home health nurse is reviewing safety with the family of a client who uses home oxygen therapy. Which of the following information should the nurse include?

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