The nurse is caring for a client who will be going home after a radical jaw and neck resection. The client's spouse will be the primary caregiver at home and will need to care for the client's feeding tube and tracheostomy
Which skill is the highest priority for the nurse to teach the client's spouse before discharge from the hospital? a. Monitoring the incision lines for infection or leakage of saliva
b. Assessing the client for readiness to resume oral feedings
c. Cleaning the tracheostomy and suctioning as needed
d. Administering tube feedings and cleaning the feeding tube site
C
Maintaining a patent airway is the highest priority for this client and spouse. The other responses are next in importance because they reflect needed knowledge regarding infection control and knowledge of proper technique for nutritional support of the client.
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The nurse is teaching a client with vitamin B12 deficiency anemia to eat a diet high in this vitamin. Which meal selected by the client indicates that the client correctly understands the prescribed diet?
a. Baked chicken breast, mashed potatoes, glass of milk b. Eggplant parmesan, cottage cheese, iced tea c. Fried liver and onions, orange juice, spi-nach salad d. Fettuccine alfredo, green salad, glass of red wine
The nurse is reviewing data collected on a group of patients being treated for cancer. Which patient or patients' cancer type, pathophysiology,
and symptoms should the nurse identify as being consistent with the oncological emergency of superior vena cava syndrome? 1. Patient C 2. Patient D 3. Patient A only 4. Patients A and B
The provider orders Zostavax for a 60-year-old patient. The patient reports having had chicken pox as a child. Which action will the nurse take?
a. Administer the vaccine as ordered. b. Counsel the patient that the vaccine may cause a severe reaction because of previous exposure. c. Hold the vaccine and notify the provider of the patient's history. d. Request an order for a Varivax booster instead of the Zostavax.
Adaptive leadership is a unique kind of leadership in that
a. It focuses on the leader's behaviors as a reflection of the followers b. It focuses on the dynamics of mobilizing people to address change c. It describes the process of rewards and punishments used in leadership d. It describes the transformational processes in complex organizations