NCLEX · Safety and Infection Control

A nurse is caring for a client receiving oxygen therapy. Which safety measure is most important in the client's room?

Correct answer

No smoking and no open flames or sources of ignition — oxygen supports combustion; remove all ignition sources, post 'Oxygen in Use' signs, and avoid flammable materials

  1. A Keep humidity high
  2. B Dim the lights
  3. C No smoking and no open flames or sources of ignition — oxygen supports combustion; remove all ignition sources, post 'Oxygen in Use' signs, and avoid flammable materials
  4. D Keep the room cool

Why this is the answer

OXYGEN SAFETY — FIRE PREVENTION: Oxygen does not burn itself but VIGOROUSLY SUPPORTS COMBUSTION — fires burn hotter and faster in an oxygen-enriched environment.

Safety measures: NO SMOKING (post 'Oxygen in Use — No Smoking' signs); no open flames, candles, matches, lighters; avoid electrical equipment that could spark; no petroleum-based products (petroleum jelly, oil) near oxygen — use water-based lubricants; avoid wool/synthetic fabrics that generate static; ensure proper grounding of electrical equipment; keep oxygen sources away from heat; SECURE oxygen cylinders (can become projectiles if the valve breaks).

Home oxygen: Educate about the same precautions; keep oxygen away from stoves, heaters, and gas appliances.

Additional: Monitor for oxygen toxicity with high concentrations over time; for COPD patients, titrate carefully (target SpO2 88-92%); LPN role: ensure a safe oxygen environment, post warnings, educate the client and visitors, remove ignition sources.

Source: NCLEX-PN Safe Care — Oxygen Safety

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About this topic: Safety and Infection Control

Safety and infection control questions cover Standard and transmission-based precautions, hand hygiene, fall and injury prevention, restraints, fire safety and handling hazardous materials. This is one of 35 PN: Coordinated Care questions on safety and infection control, each with a full explanation on a single study page.

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