A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being discharged home on oxygen therapy. Which instruction should the nurse include in the discharge teaching?
Store the oxygen tanks near sources of heat to prevent them from freezing.
Use the oxygen therapy only during periods of activity or exertion.
Adjust the oxygen flow rate to the highest level possible to improve breathing.
Use the oxygen therapy continuously, even during sleep.
The Correct Answer is D
A. Storing oxygen tanks near sources of heat is dangerous. Oxygen should be stored in a cool, dry place away from heat sources and flammable materials to prevent the risk of fire or explosion.
B. Oxygen therapy should not be limited to periods of activity or exertion. For patients with COPD, continuous oxygen therapy is often necessary to maintain adequate oxygen saturation levels, even during sleep.
C. Adjusting the oxygen flow rate to the highest level can be harmful, especially in patients with COPD, as it may suppress their hypoxic drive to breathe. The flow rate should be prescribed and adjusted by the healthcare provider.
D. Continuous use of oxygen therapy, even during sleep, is essential for maintaining adequate oxygen saturation levels in patients with COPD. This helps prevent hypoxemia and ensures the patient receives the necessary oxygen support.
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Related Questions
Correct Answer is B
Explanation
A. Atropine is used to treat bradycardia and is not indicated for pulmonary embolism. It would not be the first choice in managing this condition.
B. Heparin is an anticoagulant that helps prevent further clot formation in the case of a pulmonary embolism. It is typically administered to stabilize the patient and reduce the risk of further embolic events.
C. Dexamethasone is a corticosteroid used to treat inflammation and is not typically used to treat pulmonary embolism. It is not the first-line treatment for this condition.
D. Furosemide is a diuretic used to manage fluid retention and is not directly indicated for pulmonary embolism. It may be used in cases of heart failure or pulmonary edema, but it is not the primary treatment for a pulmonary embolism.
Correct Answer is D
Explanation
A. Hypertension is not a common adverse effect of Beclomethasone, an inhaled corticosteroid. Systemic effects like hypertension are rare with inhaled forms due to minimal systemic absorption.
B. Hypoglycemia is not associated with Beclomethasone use. Corticosteroids are more likely to cause hyperglycemia, but this is uncommon with inhaled formulations.
C. Polyuria is not an expected side effect of Beclomethasone. It is more commonly associated with conditions like diabetes or diuretics.
D. Oral candidiasis (thrush) is a common adverse effect of inhaled corticosteroids like Beclomethasone. The medication can suppress local immunity in the oral mucosa, leading to fungal overgrowth. Clients should be advised to rinse their mouth after each use to reduce this risk.
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