A client is receiving home oxygen. What teaching points should the nurse provide the client and
the caregiver regarding home oxygen safety?
Oxygen can cause things to combust easily and burn fast so the client and family must be taught
information regarding home oxygen safety.
Store and use the oxygen equipment as the manufacturer’s recommends.
Use a “no smoking” sign near the front door of the house. One can be placed by on the
door of the patient’s bedroom as well.
Educate the family and patient about the danger of smoking around the oxygen. Anyone
who smokes should smoke outside of the home.
Make sure the electrical equipment is in good condition.
Replace bedding that can cause static electricity such as wool, nylon, and synthetics.
Keep things such as heating oil and nail polish remover away from the patient while
m
oxygen is being used because these are flammable things.
er as
Have a fire extinguisher available and ready to use.
co
eH w
Have a fire exit or multiple exits established in case a fire occurs.
o.
A nurse is caring for a client with severe nausea and vomiting. What abnormal blood and urine
rs e
values should the nurse monitor for that can indicate fluid volume deficit?
ou urc
Hematocrit
Blood osmolarity (greater than 295)
o
Urine specific gravity (greater than 1.030)
Blood sodium (dehydration, due to hemoconcentration)
aC s
vi y re
BUN (increased BUN due to hemoconcentration)
Increased protein
Increased electrolytes
ed d
ar stu
The nurse discovers a fire on the unit. After following the proper steps included in RACE, the
nurse begins to extinguish the fire. What is RACE? What are the proper steps for using a fire
extinguisher?
is
R: Rescue and protect patients by moving them to a location that is safe. Assist patient who need
Th
help and ambulatory patients can walk to a safe place.
A: (Alarm)- activate the alarm system then, report details and location of the fire.
sh
C: contain-confine the fire by closing doors and windows. Turn off any oxygen sources and
electrical devices. Bag valve mask patients who are on life support.
E: use the fire extinguisher and extinguish the fire if possible.
Proper steps for using a fire extinguisher: use the PASS acronym.
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, P: pull the pin.
A: aim at the fire.
S: squeeze the handle.
S: sweep the extinguisher from side to side.
A nurse is reviewing medications while preparing to administer morning medications. List three
risk factors that can cause a decrease in medication effectiveness.
Factors affecting medication dosages and responses: body weight, age, sex, genetics, diet,
medical problems
Other factors affecting medication therapy: poor adherence, decreased mobility, multiple or
severe illnesses, impaired memory
m
er as
co
eH w
The nurse caring for a post-abdominal surgery client who has also been diagnosed with
dementia. The family is concerned about pain control for the client because the client is
o.
rs e
confused. What should the nurse include in their teaching to the family about the pain control for
ou urc
this client?
1. A change in facial expressions, body movements, moaning/crying, and a decreased
attention span can be another sign that the patient is in pain.
o
2. Consider the patient’s vitals when assessing pain, this can be a sign that the patient is in
aC s
pain. Blood pressure, pulse, and respiratory rate temporarily increase with acute pain.
vi y re
3. Giving pain medications prior to activities can help minimize the patient’s pain during
activities.
4. A nurse is assessing a client prior to administering the scheduled dose of propranolol for
ed d
hypertension. Name a minimum of two assessment findings the nurse would recognize as
ar stu
adverse effects of the medication
Bradycardia: the nurse should monitor the patient’s pulse and if it is below 50/min notify the
HCP while holding the medication.
is
Orthostatic hypotension: avoid sudden position changes and rise slowly when getting up.
Th
Bronchoconstriction: avoid propranolol in patients who have asthma.
Decreased cardiac output: use cautiously in patients who have heart failure.
sh
5. A client is to take metronidazole. List three teaching points to review with the client prior
to administering the first dose.
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https://www.coursehero.com/file/63730234/Post-assesments-documentdocx/
the caregiver regarding home oxygen safety?
Oxygen can cause things to combust easily and burn fast so the client and family must be taught
information regarding home oxygen safety.
Store and use the oxygen equipment as the manufacturer’s recommends.
Use a “no smoking” sign near the front door of the house. One can be placed by on the
door of the patient’s bedroom as well.
Educate the family and patient about the danger of smoking around the oxygen. Anyone
who smokes should smoke outside of the home.
Make sure the electrical equipment is in good condition.
Replace bedding that can cause static electricity such as wool, nylon, and synthetics.
Keep things such as heating oil and nail polish remover away from the patient while
m
oxygen is being used because these are flammable things.
er as
Have a fire extinguisher available and ready to use.
co
eH w
Have a fire exit or multiple exits established in case a fire occurs.
o.
A nurse is caring for a client with severe nausea and vomiting. What abnormal blood and urine
rs e
values should the nurse monitor for that can indicate fluid volume deficit?
ou urc
Hematocrit
Blood osmolarity (greater than 295)
o
Urine specific gravity (greater than 1.030)
Blood sodium (dehydration, due to hemoconcentration)
aC s
vi y re
BUN (increased BUN due to hemoconcentration)
Increased protein
Increased electrolytes
ed d
ar stu
The nurse discovers a fire on the unit. After following the proper steps included in RACE, the
nurse begins to extinguish the fire. What is RACE? What are the proper steps for using a fire
extinguisher?
is
R: Rescue and protect patients by moving them to a location that is safe. Assist patient who need
Th
help and ambulatory patients can walk to a safe place.
A: (Alarm)- activate the alarm system then, report details and location of the fire.
sh
C: contain-confine the fire by closing doors and windows. Turn off any oxygen sources and
electrical devices. Bag valve mask patients who are on life support.
E: use the fire extinguisher and extinguish the fire if possible.
Proper steps for using a fire extinguisher: use the PASS acronym.
This study source was downloaded by 100000831788613 from CourseHero.com on 09-30-2021 20:20:02 GMT -05:00
https://www.coursehero.com/file/63730234/Post-assesments-documentdocx/
, P: pull the pin.
A: aim at the fire.
S: squeeze the handle.
S: sweep the extinguisher from side to side.
A nurse is reviewing medications while preparing to administer morning medications. List three
risk factors that can cause a decrease in medication effectiveness.
Factors affecting medication dosages and responses: body weight, age, sex, genetics, diet,
medical problems
Other factors affecting medication therapy: poor adherence, decreased mobility, multiple or
severe illnesses, impaired memory
m
er as
co
eH w
The nurse caring for a post-abdominal surgery client who has also been diagnosed with
dementia. The family is concerned about pain control for the client because the client is
o.
rs e
confused. What should the nurse include in their teaching to the family about the pain control for
ou urc
this client?
1. A change in facial expressions, body movements, moaning/crying, and a decreased
attention span can be another sign that the patient is in pain.
o
2. Consider the patient’s vitals when assessing pain, this can be a sign that the patient is in
aC s
pain. Blood pressure, pulse, and respiratory rate temporarily increase with acute pain.
vi y re
3. Giving pain medications prior to activities can help minimize the patient’s pain during
activities.
4. A nurse is assessing a client prior to administering the scheduled dose of propranolol for
ed d
hypertension. Name a minimum of two assessment findings the nurse would recognize as
ar stu
adverse effects of the medication
Bradycardia: the nurse should monitor the patient’s pulse and if it is below 50/min notify the
HCP while holding the medication.
is
Orthostatic hypotension: avoid sudden position changes and rise slowly when getting up.
Th
Bronchoconstriction: avoid propranolol in patients who have asthma.
Decreased cardiac output: use cautiously in patients who have heart failure.
sh
5. A client is to take metronidazole. List three teaching points to review with the client prior
to administering the first dose.
This study source was downloaded by 100000831788613 from CourseHero.com on 09-30-2021 20:20:02 GMT -05:00
https://www.coursehero.com/file/63730234/Post-assesments-documentdocx/
