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 nurse plans care for a client who is prescribed skeletal traction. Which intervention should the nurse include in this plan of care to decrease the client's risk for infection?
a. Wash the traction lines and sockets once a day. b. Release traction tension for 30 minutes twice a day. c. Do not place the traction weights on the floor. d. Schedule for pin care to be provided every shift.
The nurse is caring for a client with a permanent brain injury. What does the nurse understand about the link between this condition and cognitive pathophysiology? Select all that apply.
A) Inflammation has an immediate effect on numerous neurotransmitters, leading to brain injury and cognitive dysfunction. B) Trauma is a common cause of schizophrenia and learning disabilities. C) Alzheimer disease is often a result of a traumatic brain injury leading to volume loss in key memory structures. D) Oxygen deprivation can lead to brain injury resulting in cognitive dysfunction. E) Brain function depends on a simple metabolic process which, when interrupted, results in permanent brain injury.
The client receives nystatin (Nilstat) for a fungal infection in the mouth. The nurse plans to do medication education prior to discharge. What will the best plan by the nurse include?
1. Dissolve the oral tablet in your mouth and then swallow it. 2. Take the oral suspension with a straw to prevent tooth discoloration. 3. Crush the oral tablet, mix it with orange juice, and then swallow it. 4. Swallow the oral tablet whole without chewing or crushing it.
A nurse is assisting a healthcare provider to perform a skin test on a client suspected to
have an allergic disorder. What unit of measurement will the nurse use to measure the degree of edema? A) Centimeters B) Inches C) Micrometers D) Millimeters