A nurse is providing care for a client who has a prescription for home oxygen. Which of the following instructions should the nurse include?
Post a “No Smoking” sign in the home.
Attach oxygen containers to a fixed object.
Store spare oxygen tanks in a closet.
Notify the fire department that oxygen is used in the home.
Ensure oxygen tubing is no longer than 60 feet in length.
The Correct Answer is A
A: Posting a “No Smoking” sign in the home is crucial for safety when using home oxygen. Oxygen can accelerate combustion, making even a small spark potentially dangerous. This sign serves as a constant reminder to avoid smoking and open flames near the oxygen source.
B: Attaching oxygen containers to a fixed object is important to prevent them from falling over and potentially causing damage or leaks. However, this is not the most critical instruction compared to ensuring no smoking around oxygen.
C: Storing spare oxygen tanks in a closet is not recommended. Oxygen tanks should be stored in a well-ventilated area to prevent the buildup of oxygen, which could increase the risk of fire.
D: Notifying the fire department that oxygen is used in the home is a good safety measure. It ensures that emergency responders are aware of the presence of oxygen, which can affect their approach in case of a fire. However, it is not as immediate a safety measure as posting a “No Smoking” sign.
E: Ensuring oxygen tubing is no longer than 60 feet in length is important to maintain adequate oxygen flow and prevent tripping hazards. However, this is a secondary safety measure compared to preventing smoking around oxygen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D,A,C,B
Explanation
A: Pulling the fire alarm is essential to alert others to the fire and initiate the emergency response. However, it should follow the immediate rescue of clients.
B: Extinguishing the fire is important but should be done after ensuring the safety of clients and confining the fire.
C: Confining the fire helps prevent it from spreading and should be done after pulling the fire alarm.
D: Rescuing the clients is the first priority to ensure their safety. Clients should be moved to a safe area away from the fire.
Correct Answer is D
Explanation
A: Assessing the characteristics of the sputum is important for understanding the nature of the infection and the effectiveness of the treatment, but it is not the first action to take before the procedure.
B: Assessing pulse and respirations is the first action the nurse should take. This provides baseline data on the client’s respiratory and cardiovascular status, which is crucial for monitoring the client’s response to the procedure and ensuring safety.
C: Instructing the client to slowly exhale with pursed lips is a technique used to improve breathing efficiency and oxygenation, but it is not the first action to take before the procedure.
D: Auscultating lung fields is important for assessing the client’s respiratory status and identifying areas of congestion or decreased breath sounds, but it should follow the initial assessment of pulse and respirations.
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