A home health nurse is reviewing safety with the family of a client who uses home oxygen therapy. Which of the following information should the nurse include?
Explanation & Rationale
Rationale: A. Notify the fire department that oxygen is in use in the home: Home oxygen increases the concentration of oxygen in the surrounding environment, which significantly accelerates combustion and intensifies fires. Informing the local fire department ensures emergency responders are aware of the potential hazard if a fire occurs. B. Store oxygen tanks on their side when not in use: Oxygen cylinders should be stored upright in a secured holder or stand to prevent tipping and potential damage to the valve system. If a cylinder falls and the valve breaks, it can become a high-pressure projectile due to rapid gas release. Storing tanks on their side increases the risk of rolling, impact, and mechanical damage. C. Increase the oxygen flow rate by 1 L if the client experiences dyspnea: Oxygen flow rates are prescribed based on the client’s clinical condition and arterial oxygenation status. Altering the flow without a provider’s order may lead to complications such as carbon dioxide retention in clients with chronic hypercapnia. D. Replace cotton blankets with wool and synthetic blankets: Wool and many synthetic fabrics can generate static electricity, which poses an ignition risk in oxygen-enriched environments. Cotton materials are preferred because they produce less static and reduce fire hazard. Maintaining low-static materials in the home supports safer oxygen use.