A client requires nasopharyngeal suctioning. To ensure the suction catheter is properly placed, the nurse should do which of the following?
a. Ensure a sterile suction set is available at the client's bedside.
b. Check the function of the suction device before beginning the procedure.
c. Use the estimated distance from the tip of the client's nose to the earlobe, and grasp catheter at this point.
d. Advance the catheter gently until resistance is met, and continue rotating the catheter until secretions are obtained.
C
For nasopharyngeal suctioning, estimate the distance from the tip of the client's nose to the earlobe and grasp the catheter between the thumb and forefinger at a point equal to this distance from the catheter's tip. The ensures placement of the catheter tip in the oropharynx and not in the trachea.
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A patient tells a nurse that she has prepared a living will (LW). The nurse understands that a liv-ing will: (Select all that apply.)
a. is an advanced directive that is used in the situation of a person who is unable to speak for herself or himself. b. is a legally binding document in all states and territories of the United States. c. appoints a proxy to uphold the patient's wishes. d. includes the provision that the patient's next of kin have more authority than the appointed proxy. e. can be revoked by the patient at any time in either writing or verbally.
The nurse notices that an elderly client is up frequently during the night and not sleeping. Which of the following statements about the amount of sleep needed is correct?
a. The need for sleep increases with age. b. The need for sleep decreases with age. c. The need for sleep is not well correlated with age. d. Infants and the elderly need more sleep than young and middle adults.
Identify which of the following disorders would result from a decrease in the number of cells. Select all that apply
1. Thrombocytopenia 2. Leukopenia 3. Polycemia 4. Splenomegaly 5. Myeloma
Which is the best choice for a client on a clear liquid diet?
1. Orange juice 2. Plain custard 3. Frozen ice pops 4. Vegetable juice