A nurse plans education about oxygen safety precautions at home. Which instruction should the nurse include to ensure the client's safety?
Smoke in a different room from where the oxygen is stored.
Secure oxygen cylinders so they do not fall or tumble over.
Allow the client to adjust the oxygen flow rate as needed.
Use petroleum-based products to moisturize the client's lips
The Correct Answer is B
Rationale:
A. Smoking in a different room from where oxygen is stored is unsafe and incorrect. Oxygen supports combustion, meaning it makes fires burn more rapidly and intensely. Clients should never smoke while using oxygen or in the same home environment where oxygen is in use. Even being in a different room does not eliminate fire risk.
B. Securing oxygen cylinders so they do not fall or tumble over is correct. Oxygen tanks are under high pressure. If a cylinder falls and the valve breaks, it can become a projectile and cause serious injury or damage. Properly securing cylinders in an upright position prevents accidents and ensures safe storage.
C. Allowing the client to adjust the oxygen flow rate as needed is unsafe. Oxygen is a medication and must be used exactly as prescribed. Adjusting the flow rate without provider guidance can lead to hypoxia or oxygen toxicity, especially in clients with chronic respiratory conditions.
D. Using petroleum-based products to moisturize the client’s lips is unsafe. Petroleum-based products are flammable and increase fire risk in the presence of oxygen. Water-based lubricants should be used instead.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Ensuring the medication is appropriate for the client is important for safe care, but it is a broader assessment that occurs during the planning and review of orders. While critical, it does not specifically prevent immediate administration errors.
B. Confirming medication calculations with a second nurse is essential for high-risk medications and dosing accuracy, but it only addresses potential calculation errors. It does not cover all aspects of the medication administration process, such as verifying the correct drug, dose, route, and client.
C. Performing the three medication checks before administration is the priority action to protect the client from receiving the wrong medication. These checks involve verifying the medication against the prescription when removing it from storage, when preparing it, and immediately before administration. This systematic process ensures the right drug, dose, route, time, and client are confirmed, directly preventing medication errors.
D. Empowering the client and their family to ask questions is an important strategy for promoting safety and engagement, but it is a supportive measure rather than a primary safeguard against immediate medication errors.
Correct Answer is A
Explanation
Rationale:
A. A mechanical soft diet is correctly described as a diet modified to include foods that require minimal chewing before swallowing. This diet is often recommended for clients with dental issues, difficulty chewing, or swallowing problems, allowing them to eat a wider variety of foods safely while reducing the risk of choking. Foods may be chopped, ground, or tenderized but are not necessarily pureed or liquefied.
B. Including soft fruits and cooked vegetables low in fiber describes a soft diet, but this definition focuses more on fiber content rather than the mechanical ease of chewing. While some mechanical soft diets may include these foods, the key factor is texture modification for easy chewing.
C. Foods pureed to a liquid in a blender describe a pureed diet, which is more restrictive than a mechanical soft diet. Pureed diets are used for clients with significant swallowing difficulties or severe dysphagia.
D. Foods that are a liquid at room temperature describe a full liquid diet, which includes foods such as broth, juice, milk, or pudding. This is different from a mechanical soft diet, which allows for soft solids that are easy to chew.
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