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 B
Explanation
A: Applying petroleum jelly to the client’s lips after oral care can help prevent dryness and cracking, but it is not the primary action to ensure safety during oral care.
B: Turning the client on his side before starting oral care is the correct action. This position helps prevent aspiration of fluids and secretions during the procedure, ensuring the client’s safety.
C: Using the thumb and index finger to keep the client’s mouth open is not safe or effective. A mouth prop or padded tongue blade should be used instead.
D: Using a stiff toothbrush can cause damage to the gums and oral tissues. A soft-bristled toothbrush is recommended for gentle and effective cleaning.
Correct Answer is C
Explanation
A: Clostridium difficile infection typically develops after prolonged antibiotic use and is not the most likely cause of diarrhea immediately after starting enteral feeding.
B: Antibiotic therapy can cause diarrhea, but it is not the most likely cause in this scenario where the diarrhea started soon after beginning enteral feeding.
C: Formula intolerance is the most likely cause of diarrhea shortly after starting enteral feeding. The patient’s digestive system may not tolerate the formula well, leading to diarrhea.
D: Bacterial contamination is a possible cause but is less likely to cause immediate diarrhea after starting enteral feeding compared to formula intolerance. Proper handling and preparation of the formula should minimize this risk.
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