The nurse prepares to perform tracheostomy care for the client on a medical-surgical unit. Which should the nurse implement for client care?
1. Use clean gloves and supplies.
2. Prepare cotton tip applicators.
3. Place client in upright position.
4. Remove and clean outer cannula.
2
2. The nurse prepares sterile cotton-tipped applicators for cleaning the client's stoma under the faceplate and the regional tissue to prevent contamination.
1. The nurse uses sterile technique, gloves, and supplies for client tracheostomy care to help prevent infection.
3. The nurse positions the client comfortably in semi-Fowler's position to facilitate tracheostomy care because it allows easy access to the tracheostomy and helps to prevent the client from coughing out the tracheostomy during care. The nurse also asks for assistance during tracheostomy care to secure the tracheostomy tube in place while replacing the ties.
4. The nurse removes and cleans the inner cannula of the tracheostomy tube; the nurse does not remove the outer cannula.
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The clinic nurse is checking the potency of the vaccine. Which finding may have rendered the vaccine ineffective?
1. The vaccine was frozen as labeled. 2. The vaccines have been stored in a refrigerator where the temperature has been maintained between 35° to 46° F. 3. The vaccine's expiration date expires within the next month. 4. The vaccine is stored in the door of the refrigerator.
The nurse teaching a patient with type 1 diabetes mellitus (IDDM) about early signs of insulin reaction would include information about:
a. abdominal pain and nausea. b. dyspnea and pallor. c. flushing of the skin and headache. d. hunger and a trembling sensation.
The nurse's research project is designed with a survey that has open-ended questions. This study is an example of a _____ study
1. qualitative 2. quantitative 3. validated 4. reliable
An 8-year-old boy comes to the emergency department with abdominal pain. The nurse notes that when the child walks to the treatment room, he is walking on his toes. What might the nurse suspect is wrong with this child?
A) Incarcerated hernia B) Appendicitis C) Testicular torsion D) Wilms' tumor