When doing routine cleaning of a double-lumen tracheostomy tube, the nurse will include which of the following actions?
a. Place the patient flat on the bed.
b. Reinsert the inner cannula without touch-ing the faceplate of the tracheostomy tube.
c. Rinse the inner cannula in a basin of hy-drogen peroxide.
d. Clean the inner cannula with a pipe clean-er.
D
The inner cannula is cleaned with a pipe cleaner, the patient is put in the semi-Fowler's position, and the inner cannula is rinsed in sterile saline or sterile water, rather than peroxide.
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A woman was diagnosed with necrotizing otitis externa and will soon begin a course of oral ciprofloxacin. When providing health education to this patient, the nurse should emphasize the need to temporarily avoid
A) calcium antacids. B) fatty foods. C) grapefruit juice. D) foods containing purines.
The nurse is collecting data about a client's current health status. Which statement would assist in gathering subjective data about the client?
A) "Your eyelid is red and swollen." B) "Your skin appears to be dry and irritated." C) "I see that you have bruises on your legs." D) "Tell me why you have difficulty sleeping."
Benefits of using a matrix structure in the hospital setting include:
a. cross-training of staff in general and spe-cific care delivery. b. disintegration of horizontal expansion across departments. c. focusing managerial attention on the func-tional unit. d. increases in efficiency from specialization of nursing.
A client tells a nurse that she hates her mother, who paid little attention to her when she was growing up. The nurse is documenting the client's use of the defense mechanism of reaction formation
Which client statement represents this defense mechanism? A) "I don't like to talk about my relationship with my mother." B) "It's my mother's fault that I feel this way." C) "I have a very wonderful mother whom I love very much." D) "My mom always loved my sister more than she loved me."