A nurse is suctioning a client through a tracheostomy tube. During the procedure, the client begins to cough, and the nurse hears a wheeze. The nurse tries to remove the suction catheter from the client's trachea but is unable to do so. Which action should the nurse take first?
A. Call a code
B. Contact the health care provider
C. Administer a bronchodilator
D. Disconnect the suction source from the catheter
Answer: D. Disconnect the suction source from the catheter
You might also like to view...
On the first day of clinical rotation on an inpatient psychiatric unit, nursing student A complains of nausea, sweaty palms, and stomach butterflies
Nursing student B attempts to console student A by saying, "You just can't take anything these clients say personally; don't listen to a word they say." Having observed this exchange, the nursing instructor should be most concerned about: 1. Student B's lack of appropriate fear towards this potentially dangerous environment. 2. Student B's perception that listening to the client is unnecessary. 3. Student A's fear about the psychiatric setting. 4. Student A's symptoms of an impending panic attack.
The nurse prepares to administer a gavage feeding to a newborn with transient tachypnea. This type of feeding is necessary because:
A) Lactase enzymatic activity is not adequate B) Oxygen demands need to be reduced C) Renal solute lead must be considered D) Hyperbilirubinemia is likely to develop
The nurse is teaching the girls' varsity sports teams about the "female athlete triad." What is essential information to include?
a. They should take low to moderate calcium to avoid hypercalcemia. b. They have strong bones because of the athletic training. c. Pregnancy can occur in the absence of menstruation. d. A diet high in carbohydrates accommodates increased training.
A health care provider suggests that a client drink a glass of wine each evening to help prevent heart disease. The client's religious beliefs prohibit the consumption of alcohol in any form, but the client is willing to try an herbal supplement
What formulation should the nurse suggest the client avoid? 1. Teas 2. Decoctions 3. Tinctures 4. Infusions