what is the most appropriate safety measure for a client using home oxygen

ATI LPN

ATI PN Comprehensive Predictor 2020 Answers

1. What is the most appropriate safety measure for a client using home oxygen?

A. Store oxygen tanks upright when not in use
B. Ensure oxygen tanks are kept upright at all times
C. Allow family members to smoke in designated areas
D. Keep oxygen equipment at least 10 feet away from heat sources

Correct answer: B

Rationale: The correct answer is to ensure oxygen tanks are kept upright at all times. This is important to prevent the tanks from falling over, which can lead to injuries or tank damage. Choice A is incorrect because oxygen tanks should not be stored in a closet when not in use, as this can lead to poor ventilation and potential hazards. Choice C is incorrect because smoking near oxygen tanks poses a significant fire risk. Choice D is incorrect because while it is important to keep oxygen equipment away from heat sources, ensuring the tanks are kept upright is a more critical safety measure.

2. A nurse is providing teaching to a client who is to start taking digoxin. Which of the following statements by the client indicates an understanding of the teaching?

A. I should take this medication with food.
B. I will contact my provider if my heart rate is below 60 beats per minute.
C. I should take an antacid with this medication to prevent gastrointestinal upset.
D. I will need to take this medication for 14 days.

Correct answer: B

Rationale: The client should contact their provider if their heart rate drops below 60 beats per minute, as this could indicate digoxin toxicity.

3. A client with dementia is at risk of falling. What is the best intervention to prevent injury?

A. Place the client in a room close to the nurses' station
B. Use a bed exit alarm
C. Encourage family members to stay with the client at all times
D. Raise all four side rails

Correct answer: B

Rationale: Using a bed exit alarm is the best intervention to prevent injury in a client with dementia at risk of falling. This device alerts staff when the client attempts to leave the bed, allowing for timely assistance and reducing the risk of falls. Placing the client in a room close to the nurses' station may help with supervision but does not provide immediate alerts like a bed exit alarm. Encouraging family members to stay with the client at all times may not be feasible, and raising all four side rails can lead to restraint issues and is not recommended unless necessary for the client's safety.

4. Which nursing action is a priority when caring for a client with heart failure?

A. Encourage the client to drink fluids frequently
B. Weigh the client daily to monitor fluid balance
C. Increase fluid intake to prevent dehydration
D. Limit the client's sodium intake

Correct answer: B

Rationale: Weighing the client daily is a priority action when caring for a client with heart failure because it helps monitor fluid balance. This monitoring is essential in managing heart failure as it allows healthcare providers to assess for signs of fluid retention or depletion, which are crucial in adjusting treatment plans. Encouraging the client to drink fluids frequently (Choice A) may worsen fluid overload in heart failure patients. Increasing fluid intake (Choice C) can exacerbate fluid retention. While limiting sodium intake (Choice D) is important in heart failure management, monitoring fluid balance through daily weighing takes precedence as a priority nursing action.

5. What are the nursing interventions for a patient with COPD?

A. Administer oxygen and provide breathing exercises
B. Suction airway secretions and encourage coughing
C. Administer bronchodilators and monitor oxygen saturation
D. Restrict fluids and encourage mobility

Correct answer: A

Rationale: The correct answer is A: Administer oxygen and provide breathing exercises. These interventions are essential in managing COPD as they help improve lung function and oxygenation. Choice B is incorrect as suctioning airway secretions and encouraging coughing are not typically indicated for COPD patients. Choice C is incorrect as while administering bronchodilators is common in COPD treatment, monitoring oxygen saturation alone is not a comprehensive intervention. Choice D is incorrect as restricting fluids is not a standard intervention for COPD, and encouraging mobility, although beneficial, is not as directly related to managing COPD symptoms as administering oxygen and providing breathing exercises.