The nurse setting up the environment for tracheal suction on a newly postoperative tracheostomy patient will: (Select all that apply.)
a. auscultate lungs for retained secretions.
b. wash hands and open sterile suction kit.
c. don clean gloves and lift out catheter and connect to suction.
d. don sterile gloves and prepare solutions from kit.
e. perform suction with sterile supplies.
A, B, D, E
Sterile rather than clean gloves should be worn during the suctioning procedure. All other options are significant to perform suctioning safely and aseptically.
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The nurse is teaching a group of older clients about the functioning of the heart so that they are better able to participate in their care. Which client statement indicates that additional teaching is required?
1. "A high systemic blood pressure can have a negative effect on my heart." 2. "All arteries carry oxygen away from the heart." 3. "The pulmonary vein carries oxygenated blood to the heart." 4. "Arterioles carry oxygenated blood to the capillary bed."
A patient taking a thiazide diuretic has the following blood laboratory values for kidney function. Which value will you report to the prescriber immediately?
a. Sodium 136 mEq/L b. Potassium 2.6 mEq/L c. Creatinine 0.9 mg/dL d. Blood urea nitrogen 6 mg/dL
The nurse is assessing a pregnant woman with a history of malignant hypertension. Which of the following is a priority teaching intervention for this client?
A) Avoid activities that result in shortness of breath. B) Add more sodium and calcium to the diet. C) Get occasional rest and frequently exercise. D) Limit fluid intake for the first and third trimesters.
Which of the following choices would best answer the question, "Who owns a patient's x-rays?"?
a. The patient b. The doctor c. The facility that performed the procedure. d. None of the above.