When assessing a patient's tracheostomy site, the nurse notes redness and inflammation around the stoma. Which intervention can the nurse provide to address this problem?
a. Decrease the frequency of tracheostomy care.
b. Apply a dry gauze dressing just under the stoma.
c. Remove the ties at frequent intervals.
d. Apply a topical antibacterial solution and allow it to dry.
D
Apply a topical antibacterial solution and allow it to dry. Increase the frequency of tracheostomy care. Apply a hydrocolloid or transparent dressing just under the stoma to protect the skin from breakdown. Consult with a skin care specialist. Adjust the ties or apply new ones when the ties are loose or tight. Never remove the ties.
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The circulating nurse is responsible for which of the following tasks?
A) Monitoring the patient and documents B) Estimating the patient's blood loss C) Setting up the sterile tables D) Keeping track of drains and sponges
An elderly client fell 2 days ago on the sidewalk near his home and has been admitted to the hospital with a hip fracture. Since his subsequent surgery, however, he has been insistent on wearing his own sweater and cap
The nurse is aware that the client is not cold, has no cognitive deficits, and has participated cooperatively in all aspects of his treatment. What is the most plausible rationale for the client's action? A) The client wishes to maintain and assert his personal identity. B) The client is preparing to leave against medical advice. C) The client is experiencing postoperative delirium. D) The client is unaware that wearing a gown is the norm in a hospital.
Which payer is the largest for home health services?
a. Private insurance b. Patients and families in the form of self-pay c. Medicare d. Medicaid
Which finding would the PACU nurse evaluate as indicating the patient is progressing toward maintaining his own airway?
1. The patient snores while breathing. 2. The patient is "fighting" the oral airway. 3. The patient requires suctioning every 15 minutes. 4. The patient's oxygen saturation is below 90% on room air.