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?

Rationale:

A. Decrease traction on the catheter: Decreasing traction on the catheter may help with discomfort from the catheter itself but does not address the potential issue of a blocked catheter, which is likely the cause of the decreased output and bladder spasms.

B. Administer ibuprofen 400 mg for pain relief: While ibuprofen may help with pain relief, it does not address the underlying cause of bladder spasms or decreased urinary output. The priority is to ensure the catheter is functioning properly to prevent further complications.

C. Remove the indwelling urinary catheter: Removing the indwelling urinary catheter is not appropriate in this situation, as the catheter is essential for continuous bladder irrigation and preventing clot formation. Removal could exacerbate the problem.

D. Flush the catheter manually with 0.9% sodium chloride: The decreased output could indicate a blockage, and flushing the catheter with saline can help clear any obstructions, relieving the bladder spasms and restoring normal drainage.

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.