A student nurse is providing tracheostomy care. What action by the student requires intervention by the instructor?
a. Holding the device securely when changing ties
b. Suctioning the client first if secretions are present
c. Tying a square knot at the back of the neck
d. Using half-strength peroxide for cleansing
ANS: C
To prevent pressure ulcers and for client safety, when ties are used that must be knotted, the knot should be placed at the side of the client's neck, not in back. The other actions are appropriate.
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Sarah and her 12-year-old daughter, Megan, visit the clinic often because of Megan's asthma. The clinic nurse knows that one of the most important nursing roles is to:
A) Listen patiently to Megan as she talks about her illness B) Regulate and modify Megan's medications in response to her asthma symptoms C) Give Sarah time to talk about Megan's illness while Megan is present D) Continue to schedule regular clinic visits for Megan
The right side of the brain controls the conscious activities of the right side of the body
True False
A patient with a traumatic brain injury is being evaluated for brain death. Which finding should the nurse expect in this patient? Select all that apply.
A. Response to deep stimuli B. Absence of gag or corneal reflex C. Absence of oculovestibular reflex D. Toxic metabolic disorders E. Apnea with PaCO2 of 66 mmHg
The DEA is part of the Department of Justice.
a. true b. false