The nurse is providing care to a patient with a tracheostomy tube that has an inner cannula . Which intervention by the nurse follows proper procedure for tracheostomy tube care?
a. Carefully removes the inner cannula and places it in a basin of 1:10 bleach solution
b. Scrubs the inner cannula on the inside and outside with a 1:10 bleach solution
c. After scrubbing the inner cannula, rinses it with normal saline
d. Uses a wet 4 ? 4 gauze and cleans the inside of the outer cannula
C
After the inner cannula is thoroughly cleaned, it is rinsed with normal saline. The inner cannula is removed and is placed in a basin of normal saline to loosen secretions. It is scrubbed and then rinsed with normal saline. The outer cannula is not cleaned on the inside. The exposed outer cannula surfaces at the stoma are dried with a 4 ? 4 gauze to prevent a moist environment and prohibit microorganism growth and skin excoriation.
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a. an unknown state b. a sleep state c. a physical state d. an altered state
The nurse is using stereognosis to assess a client. Which instruction would the nurse provide for the client?
A. "Identify the object in your hand with your eyes closed." B. "Open and close your hand each time I tell you to." C. "Tell me if you feel one or two objects touching you with your eyes closed." D. "Identify the number being traced in your hand with your eyes closed."
The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine is believed to be the drug involved. Data collection should include what information?
a. Mode of administration b. Drug's actual content c. Function the drug plays in the adolescent's life d. Adolescent's level of interest in rehabilitation
The nurse explains that a hernioplasty is a surgery that involves which process?
a. Reducing the hernia by manual pressure. b. Sewing synthetic mesh over the abdominal wall defect to reduce the hernia. c. Applying an individualized truss for the reduction of the hernia. d. Reducing the hernia and suturing the de-fect in the abdominal wall.