a nurse is providing discharge instructions to a client with home oxygen therapy which of the following is essential for safety

ATI LPN

ATI NCLEX PN Predictor Test

1. A nurse is providing discharge instructions to a client with home oxygen therapy. Which of the following is essential for safety?

A. Allow the client to smoke in designated outdoor areas
B. Place the oxygen equipment 10 feet away from any open flames
C. Keep oxygen tanks upright at all times
D. Restrict fluid intake while using oxygen

Correct answer: C

Rationale: The correct answer is to keep oxygen tanks upright at all times. This is essential for safety as it prevents the tanks from falling and causing injury. Allowing the client to smoke in designated outdoor areas (Choice A) is unsafe as smoking near oxygen equipment can lead to a fire. Placing the oxygen equipment 10 feet away from any open flames (Choice B) is important to prevent fire hazards, but keeping the tanks upright is more directly related to preventing injuries. Restricting fluid intake while using oxygen (Choice D) is not necessary for safety in home oxygen therapy.

2. What is the first step when administering a blood transfusion?

A. Warm the blood to body temperature
B. Verify the client's blood type before administration
C. Administer the blood through an IV push
D. Administer diuretics before the transfusion

Correct answer: B

Rationale: The correct answer is to verify the client's blood type before administration. This step is crucial to ensure compatibility and prevent adverse reactions such as hemolytic transfusion reactions. Warming the blood to body temperature (Choice A) is not the first step and is not typically done during blood transfusions. Administering the blood through an IV push (Choice C) is incorrect as blood transfusions are usually administered as a slow infusion. Administering diuretics before the transfusion (Choice D) is unnecessary and not a standard practice when initiating a blood transfusion.

3. What are early indicators of dehydration?

A. Dry mouth
B. Increased thirst
C. Decreased urine output
D. Dizziness

Correct answer: A

Rationale: The correct answer is A, dry mouth, and B, increased thirst are early indicators of dehydration. Dry mouth occurs when the body is dehydrated, and increased thirst is the body's way of trying to increase fluid intake to combat dehydration. Choices C and D, decreased urine output and dizziness, can be signs of severe dehydration but are not typically considered early indicators.

4. When providing family education for those who have a relative with Alzheimer's disease about minimizing stress, which of the following suggestions is most relevant?

A. Allow the client to rest four to five times during the day
B. Assess the cognitive functioning of the client regularly
C. Provide reality orientation even if the memory loss is severe
D. Maintain consistency in environment, routine, and caregivers

Correct answer: D

Rationale: The most relevant suggestion for minimizing stress in individuals with Alzheimer's disease is to maintain consistency in the environment, routine, and caregivers. This approach helps create a sense of familiarity and security for the individual, reducing stress and anxiety. Choice A is incorrect as it suggests allowing the client to go to bed multiple times during the day, which may disrupt their routine and lead to confusion. Choice B is incorrect as continuously testing cognitive functioning can be overwhelming and stressful for the individual. Choice C is also incorrect as providing reality orientation in cases of severe memory loss can cause frustration and confusion, ultimately increasing stress levels.

5. How should a healthcare professional assess a patient for potential deep vein thrombosis (DVT)?

A. Assess for unilateral leg swelling
B. Encourage early mobilization
C. Check for calf tenderness
D. Observe for redness and warmth

Correct answer: A

Rationale: To assess a patient for potential deep vein thrombosis (DVT), healthcare professionals should look for unilateral leg swelling. This is a classic sign of DVT. While encouraging early mobilization is generally beneficial for preventing DVT, it is not a method of assessment. Checking for calf tenderness is also relevant but not as specific as unilateral leg swelling. Observing for redness and warmth can be signs of inflammation but are not as specific to DVT as unilateral leg swelling.