What is your teaching priority for the client who will be using oxygen therapy at home via an H cylinder?
A. Keeping the tubing free of condensation
B. Explaining that the client should avoid crowds
C. Ensuring that adequate humidification is available
D. Reinforcing that the cylinder must be secured in a stand or a rack
D
The contents of the large (H) cylinders of oxygen are under considerable pressure. If the cylinder is unsecured and is knocked over, rapid decompression can cause this heavy equipment to move around the room and cause harm to anyone in the room.
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A nurse is aware that many patients with ostomies have an altered self-image. What might this cause?
a. Self-care deficits b. Sexual dysfunction c. Nonadherence to diet d. Irrational anger
Which nursing diagnosis is likely to be of highest priority when developing a nursing care plan for a client?
a. Impaired memory c. Diarrhea b. Ineffective denial d. Social isolation
Which of the following organizations cannot perform accreditation and establish standards for health care delivery in the United States?
1. The Joint Commission 2. Commission for Accreditation of Rehabilitation Facilities (CARF) 3. Nursing Administrative Quarterly (NAQ) 4. The National Committee for Quality Assurance (NCQA)
Twenty minutes after the client has received a preoperative injection of atropine and midazo-lam (Versed), the client tells the nurse that he must be allergic to the medication because his mouth is dry and his heart seems to be beating faster than
normal. What is the nurse's best first action? A. Document the findings as the only action. B. Check the client's pulse and blood pressure. C. Prepare to administer epinephrine and diphenhydramine (Benadryl). D. Explain to the client that these symptoms are normal responses to the medication.