A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)
Apply petroleum jelly around and inside the nares.
Cleanse the mask or collar with soapy water every other day.
Make sure the straps on the mask are secure but not too tight.
Post "no smoking" warning signs at home in a prominent location.
Check the tops of his ears regularly for skin breakdown.
Correct Answer : C,D,E
Apply petroleum jelly around and inside the nares:
Petroleum jelly is not recommended for use with oxygen therapy. It can be flammable and may increase the risk of fire when in contact with oxygen.
B. Cleanse the mask or collar with soapy water every other day:
While it's important to keep the oxygen equipment clean, using soapy water might not be suitable for all types of oxygen masks or collars. Specific cleaning instructions provided by the supplier or healthcare provider should be followed to ensure proper hygiene and maintenance of the equipment.
C. Make sure the straps on the mask are secure but not too tight:
Proper fitting of the oxygen mask is crucial for comfort and adequate oxygen delivery. The straps should be secure enough to hold the mask in place but not so tight as to cause discomfort or skin irritation.
D. Post "no smoking" warning signs at home in a prominent location:
Oxygen is highly combustible, and smoking near oxygen can lead to fires or explosions. It's crucial to have clear warning signs in the home to prevent smoking in areas where oxygen is used.
E. Check the tops of his ears regularly for skin breakdown:
Prolonged use of oxygen masks or nasal cannulas can cause skin breakdown, particularly around the ears where the tubing or mask straps may rest. Regular checks for any signs of skin breakdown are essential for early detection and prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Position the client on her side:
While placing the client on her side is important, especially if there is a risk of aspiration during the seizure, maintaining the airway takes precedence as the priority action.
B. Maintain the patency of the client's airway:
This is the correct answer. Ensuring the airway is open and unobstructed is the immediate priority during a seizure. This involves positioning the client to prevent airway compromise and potentially using suction if necessary.
C. Identify the poison the client ingested:
While identifying the poison is important for subsequent management, it is not the immediate priority during an active seizure. The focus is on stabilizing and ensuring the client's safety.
D. Measure the client's blood pressure:
Monitoring vital signs, including blood pressure, is an essential aspect of care, but it is not the immediate priority during an active seizure. Airway management takes precedence to prevent complications such as hypoxia.
Correct Answer is D
Explanation
A. "I will keep my walker at the end of my bed":
While keeping the walker at the end of the bed may be convenient, it is not a safety measure in itself. It's important for the client to use the walker as needed for support and stability, especially during ambulation.
B. "I will place an area rug at the entry of my bathroom":
Placing area rugs can be a fall hazard, as they may cause tripping. It is generally recommended to have non-slip surfaces, especially in areas prone to moisture like the bathroom.
C. "I will keep the fluorescent ceiling light on in my room at night":
While having adequate lighting is important for preventing falls, leaving a fluorescent ceiling light on all night may not be necessary. Using night lights or low-intensity lighting may be more appropriate to prevent disruption of sleep.
D. "I will place a bath seat in my shower to use when I bathe":
This is the correct statement. Using a bath seat in the shower provides stability and reduces the risk of slipping and falling while bathing. It is a proactive measure to enhance safety in the bathroom.
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