The nurse is caring for a patient who has a tracheostomy. To prevent the patient from developing an airway obstruction, the nurse assesses which of the following? (Select all that apply.)
a. Patient's nutritional status
b. Environmental humidity
c. Existing respiratory infection
d. Patient's ability to cough
A, B, C, D
The patient's hydration and nutritional status, humidity delivered to the tracheostomy tube, the status of an existing infection, and the ability to cough are all factors that affect the amount and consistency of secretions in the tracheostomy tube and the patient's ability to clear the airway.
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The nurse is caring for a client experiencing neutropenia as a result of chemotherapy and develops a plan of care for the client. The nurse plans to:
A) restrict all visitors. B) restrict fluid intake. C) teach the client and family about the need for hand hygiene. D) insert an indwelling urinary catheter to prevent skin breakdown.
What makes a nursing history different from a medical history?
a. A nursing history focuses on the patient's responses to the health problem. b. The same information is gathered in both; the difference is in who obtains the information. c. A nursing history is gathered using a specific format. d. A medical history collects more in-depth information.
A PHN would like to use the Dahlgren-Whitehead model to help herself and other local practitioners understand health in populations. She understands that the Dahlgren-Whitehead ecological model assumes that
A. There are multiple determinants of health and thus, multiple strategies are needed. B. A population and environmental approach is essential. C. Linkages and relationships are crucial. D. All of the above
A problem in proposing psychological dependence as an explanation for drug abuse is
A. the necessity to show withdrawal symptoms B. the requirement that illicit drugs be involved C. the presence of conditioned tolerance D. its inherent circularity