A nurse is caring for a client receiving mechanical ventilation through a tracheostomy
tube. What measure should the nurse employ with this client?
A) Ask the client to avoid turning in bed
B) Perform tracheal suctioning as needed
C) Hyperextend the client's neck sufficiently
D) Secure the tube in place using a sterile dressing
B
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A patient whose diet consists of processed food from fast-food restaurants has painful lesions at the corners of the mouth. How should the nurse document this finding?
1. glossitis 2. gingivitis 3. cheilosis 4. leukoplakia
A nurse is assessing a client who was recently released from prison. Based on knowledge of the incidence rates of various types of crimes that lead to incarceration, the nurse suspects that the client may have committed which crime?
A) Murder B) Rape C) Assault D) Drug possession and trafficking
Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient:
a. reports occasional sleeplessness and anxiety. b. reports a consistently sad, discouraged, and hopeless mood. c. is able to describe the difference between "as if" and "for real." d. perceives difficulty making a decision about whether to change jobs.
What is the common length of the typical nurse residency program?
1. One month 2. Six months 3. Twelve months 4. Eighteen months