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 {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Rationale for Correct Choices:

Pain level: The client is experiencing significant chest pain (7/10) radiating to the left arm, which is a classic sign of potential myocardial infarction (MI). Managing pain is the priority to reduce discomfort and prevent further cardiac stress while simultaneously stabilizing the patient.
ECG results: The ECG findings of tachycardia with ST segment elevation and T wave changes indicate a possible acute myocardial infarction (STEMI). Immediate attention to the ECG results is critical for confirming the diagnosis and guiding the appropriate emergency interventions, such as the administration of thrombolytics or preparation for angioplasty.

Rationale for Incorrect Choices:

Diaphoresis: Diaphoresis (excessive sweating) is a sign of myocardial infarction and should be addressed as part of the overall clinical assessment. However, addressing the pain and confirming the diagnosis with an ECG are more urgent initial steps.
Nausea: Nausea is a common symptom in myocardial infarction, but it is not the immediate priority. Pain relief and stabilization of the heart's function should take precedence. Nausea can be managed after addressing the more critical issues.
Cholesterol level: Elevated cholesterol levels, while important for long-term management of hyperlipidemia and cardiovascular risk, are not an immediate priority in this acute presentation.
Pedal pulses: While weak pedal pulses are noted, they are not as urgent as managing the chest pain and confirming the diagnosis with an ECG. Pedal pulses can be monitored during ongoing assessment, furthermore the capillary refill is < 2 seconds indicating adequate perfusion.

A. Poached egg B. Fresh peaches C. Whole grain toast. D. Oatmeal

Correct Answer is A

Explanation

Rationale:

A. Poached egg: A poached egg is a good choice for a client with ulcerative colitis as it is easy to digest and does not irritate the gastrointestinal tract. Eggs provide protein without the fiber that could exacerbate diarrhea.

B. Fresh peaches: Fresh peaches are high in fiber, which can aggravate diarrhea in clients with ulcerative colitis. Clients should avoid high-fiber fruits, especially during flare-ups.

C. Whole grain toast: Whole grain toast contains a high amount of fiber, which may irritate the intestines and worsen diarrhea. A low-fiber diet is typically recommended during flare-ups of ulcerative colitis.

D. Oatmeal: Oatmeal is high in fiber, which can be problematic for clients with ulcerative colitis, especially during episodes of diarrhea. It can irritate the digestive system and increase discomfort.

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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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Naxlex Comprehensive Predictor Exams

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Explanation

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