The nurse has completed discharge teaching for a client who will ...

[Alygatorr01285]

The nurse has completed discharge teaching for a client who will be going home on oxygen therapy. What statement, made by the client, would indicate that this client needs further instruction?
 
  1. I will replace my cotton blankets with polyester ones.
  2. My son will not be able to smoke when I am around.
  3. I will have my electrical appliance checked for grounding.
  4. I will buy a fire extinguisher for my bedroom.

Question 2

The nurse needs to hyperinflate a client prior to suctioning. How should the nurse proceed with this requirement?
 
  1. Turn the suction level up to 60 cm prior to inserting the catheter.
  2. Increase the oxygen flow to the client by 20 prior to suctioning.
  3. Provide 2 to 3 breaths at 1.5 times the tidal volume prior to suction.
  4. Instruct the client to cough forcefully from the abdomen prior to suction.

[wfdfwc23]

Answer to Question 1

Correct Answer: 1
Rationale 1: Polyester blankets and fabrics tend to produce static electricity, which can cause sparks and can cause oxygen-saturated fabrics to burn more readily.
Rationale 2: The client understands the hazards associated with home oxygen therapy.
Rationale 3: This statement reflects understanding of home oxygen therapy.
Rationale 4: This statement reflects understanding of home oxygen therapy.

Answer to Question 2

Correct Answer: 3
Rationale 1: Turning up the suction level will not hyperinflate the client's lungs.
Rationale 2: Increasing the oxygen flow rate will not hyperinflate the client's lungs.
Rationale 3: The nurse should provide 2 to 3 breaths at 1.5 times the client's normal tidal volume prior to and after insertion of the suction catheter.
Rationale 4: Coughing will not hyperinflate the client's lungs.

[Alygatorr01285]

Excellent

[epscape]

Gracias!