A nurse is reinforcing teaching with a client's family about home oxygen use via nasal cannula. Which of the following statements by a family member indicates an understanding of the teaching?

"We will frequently check the top of his ears for sores."

"We can turn the oxygen up to 10 when he has trouble breathing."

"We can use petroleum jelly to keep his nares moist."

"We will need to remove the nasal cannula when he is eating."

Answer and Explanation

The Correct Answer is A

A. Frequently checking the top of the ears for sores is correct. The nasal cannula tubing can cause pressure injuries behind the ears over time. The family should check for redness or sores and use protective padding or adjust the tubing as needed.

B. Turning the oxygen up to 10 when the client has trouble breathing is incorrect. Oxygen flow rates should be adjusted only as prescribed by the provider. Increasing the flow rate without guidance can lead to complications, such as oxygen toxicity in clients with chronic respiratory conditions.

C. Using petroleum jelly to keep the nares moist is incorrect. Petroleum-based products are flammable and should not be used with oxygen therapy. Instead, a water-based lubricant should be used to prevent nasal dryness.

D. Removing the nasal cannula when eating is incorrect. Clients using a nasal cannula can continue wearing it while eating, as it allows them to receive oxygen continuously. If needed, a healthcare provider can recommend adjustments to oxygen flow during meals.

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Correct Answer is B

Explanation

A. Exercising when insulin is at its peak action is incorrect. Exercising during peak insulin activity increases the risk of hypoglycemia. It is best to exercise when insulin levels are more stable, such as 1 to 2 hours after a meal.

B. Eating a piece of fruit before exercising is correct. A small carbohydrate snack before exercise helps prevent hypoglycemia, especially for clients with type 1 diabetes. The body requires glucose for energy, and exercise can lower blood sugar levels rapidly.

C. Injecting additional insulin before exercising is incorrect. Exercise naturally lowers blood glucose, so adding extra insulin increases the risk of hypoglycemia. Instead, insulin doses may need to be adjusted downward based on activity levels.

D. Avoiding protein before exercising is incorrect. While carbohydrates are the primary concern, protein intake before exercise is not harmful and can support muscle function. However, the focus should be on carbohydrate intake to maintain blood glucose levels.

A. "If I were you, I would contact your spiritual director." B. "I'm sure that everything will be all right, regardless of your decision." C. "Making this decision is wrong." D. "You have a right to change your mind."

Correct Answer is D

Explanation

A. "If I were you, I would contact your spiritual director.": While this may be a helpful suggestion for the client, it can come across as dismissive of the client’s personal beliefs and decision-making. The nurse should respect the client’s autonomy in making healthcare decisions.

B. "I'm sure that everything will be all right, regardless of your decision.": This statement may be dismissive of the client's concerns and the seriousness of their medical decision. It also minimizes the importance of the client’s decision, which should be respected.

C. "Making this decision is wrong.": This response is judgmental and violates the client’s autonomy. The nurse should avoid imposing personal beliefs and instead support the client’s choices.

D. "You have a right to change your mind.": This is the best response, as it acknowledges the client’s autonomy and the possibility that the client may reconsider their decision in the future. It provides a nonjudgmental and supportive statement that empowers the client.

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A nurse is reinforcing teaching with a client's family about home oxygen use via nasal cannula. Which of the following statements by a family member indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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