A home health nurse is visiting a new client who uses oxygen in the home. For which factors does the nurse assess when determining if the client is using the oxygen safely? (Select all that do not apply.)

Correct Answer: D

Rationale: The correct answer is D because household light bulbs being fluorescent type is not directly related to safety when using oxygen at home. Oxygen supports combustion and can increase fire risk. A, B, and C are important safety factors as smoking can ignite oxygen, damaged electrical cords can cause sparks, and flammable liquids can also lead to fires.

Correct Answer: B

Rationale: The correct answer is B: Albuterol (Ventolin HFA) 2.5 mg per nebulizer. During an acute asthma attack, the priority is to quickly open up the airways to improve breathing. Albuterol is a short-acting bronchodilator that works rapidly to relieve bronchospasm and improve airflow. Administering Albuterol via nebulizer allows for efficient delivery of the medication directly to the lungs. Methylprednisolone (A) is a corticosteroid that helps reduce airway inflammation but takes longer to have an effect. Salmeterol (C) is a long-acting bronchodilator used for maintenance therapy, not for immediate relief during an acute attack. Ipratropium (D) is an anticholinergic bronchodilator that can be used in combination with Albuterol, but Albuterol alone is the initial priority for acute symptom

Correct Answer: C

Rationale: The correct answer is C, the 55-year-old woman who is 50 lb overweight. Obesity is a major risk factor for obstructive sleep apnea (OSA) as excess weight can lead to airway obstruction during sleep. This increases the likelihood of pauses in breathing and disrupted sleep patterns. Pregnant women (choice A) may experience OSA due to hormonal changes but it is usually temporary. Gastroesophageal reflux disease (choice B) can exacerbate OSA but is not the primary risk factor. While type 2 diabetes (choice D) is associated with OSA, obesity is a more significant risk factor in this case.

Correct Answer: C

Rationale: The correct answer is C because a sudden high blood pressure reading warrants further evaluation for diagnosis, treatment, and monitoring. This patient's elevated BP of 198/110 mm Hg puts them at risk for serious complications like stroke, heart attack, or kidney damage. It is crucial to assess the underlying cause, initiate appropriate treatment, and closely monitor the BP to prevent complications. Choice A is incorrect because waiting a few weeks for a recheck can delay necessary intervention. Choice B is incorrect as simply adjusting diet may not be sufficient to address the sudden spike in BP. Choice D is incorrect because while there is a risk of stroke, hospitalization may not be required immediately without further assessment and management.

Correct Answer: B

Rationale: Correct Answer: B - Take off all metals, such as your watch and belt. Rationale: 1. Metals can interfere with the radiation therapy and cause harm to the visitor. 2. Removing metals ensures there is no risk of them getting heated up due to radiation exposure. 3. This precaution helps in minimizing any potential hazards during the visit. Summary: A: Avoid visitation if you are pregnant - Incorrect. Visitors who are pregnant should definitely avoid contact with internal radiation implants. C: Limit your visitation time - Incorrect. There is no mention of limiting visitation time as a precaution for radiation exposure. D: Wear a protective lead apron - Incorrect. This is typically recommended for healthcare workers, not visitors.