The nurse is providing safety instructions to a client who is being discharged home with oxygen therapy. Which information provided by the client indicates understanding?

Remove tubing while eating.

Keep the tank in a cool place.

Avoid direct skin contact.

Place a pad around the tank.

Answer and Explanation

The Correct Answer is C

C. Oxygen is a highly combustible gas, and direct contact with oil or grease can increase the risk of fire. Therefore, avoiding direct skin contact helps minimize this risk.

A. Clients should not remove the oxygen tubing while eating. It’s essential to continue oxygen

therapy during meals to maintain adequate oxygen levels.

B. Oxygen tanks should be stored in a well-ventilated area but not in a confined space. Avoid extreme temperatures (both hot and cold) and direct sunlight.

D. Although it’s essential to secure oxygen tanks to prevent tipping, placing a pad around the

tank is not a standard safety practice.

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Correct Answer is C

Explanation

C. Urinary incontinence affects the moisture component of the Braden scale. Proper assessment and interventions are crucial to prevent skin breakdown.

A. A weakened cough effort is not directly related to pressure ulcer risk assessment, which is the purpose of the Braden Scale.

B. Bowel sounds are not included in the Braden Scale assessment criteria.

D. Ankle edema is not included as a factor in the Braden Scale assessment.

A. "I'm sorry, but your child's medical information is none of your business." B. "I can only give medical information to your child because they are legally an adult." C. "The healthcare provider will share this information with you." D. "I can give you those results as soon as I get them back from the lab."

Correct Answer is B

Explanation

"I'm sorry, but your child's medical Information is none of your business."This response is confrontational and dismissive, and it doesn't effectively address the parents' concerns. It's important to maintain professionalism and respect even in challenging situations.

"I can only give medical Information to your child because they are legally an adult."This response respects the minor's emancipated status and acknowledges that, legally, the nurse can only disclose medical information to the emancipated minor themselves. It upholds the principles of patient confidentiality and autonomy while also providing clear and accurate information to the parents about their limitations regarding access to their child's medical information.

"The healthcare provider will share this information with you," could potentially mislead the parents because it implies that the healthcare provider will provide them with the information directly. However, if the minor is legally emancipated, the healthcare provider would still be bound by confidentiality laws and would only be able to disclose information to the minor themselves unless there are extenuating circumstances or legal exceptions.

I can give you those results as soon as I get them back from the laboratory."While this response offers to provide information, it doesn't address the issue of confidentiality or the parents' role in receiving the information. It's also not accurate to promise the results directly without involving the healthcare provider, who is responsible for interpreting and discussing the results with the patient and family.

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The nurse is providing safety instructions to a client who is being discharged home with oxygen therapy. Which information provided by the client indicates understanding?

Nursing Test Bank

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