A nurse is caring for a client who underwent tracheostomy (trach) following throat
surgery. What is the rationale for swabbing the area around the outside of the trach tube
with hydrogen peroxide?
A) To relieve bronchospasm
B) To reduce inflammation
C) To hydrate thick sputum
D) To remove encrusted secretions
D
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How can the nurse demonstrate warmth and acceptance when listening to a patient?
a. Tightly crossing her arms b. Uncrossing her arms c. Tightly crossing her legs d. Facing away from the patient
Using the Alfaro-LeFevre approach to prioritizing nursing diagnoses, which of these nursing diagnoses should the nurse focus on first?
a. Airway clearance, ineffective, related to excessive secretions b. Anxiety related to unknown outcome of illness c. Coping, individual, ineffective, related to loss of independence d. Self-care deficit, feeding, related to decreased strength and endurance
A patient is diagnosed with a terminal illness. Who is usually responsible for deciding what, when, and how the patient should be told?
A) family B) clergy C) nurse D) physician
The nurse is conducting discharge teaching to parents of a preschool child with myelomeningocele, repaired at birth, being discharged from the hospital after a urinary tract infection (UTI)
Which should the nurse include in the discharge instructions related to management of the child's genitourinary function? (Select all that apply.) a. Continue to perform the clean intermittent catheterizations (CIC) at home. b. Administer the oxybutynin chloride (Ditropan) as prescribed. c. Reduce fluid intake in the afternoon and evening hours. d. Monitor for signs of a recurrent urinary tract infection. e. Administer furosemide (Lasix) as prescribed.