MC Select all of the statements that are correct about tracheostomy care. (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
A. The outer cannula is frequently disposable and needs no cleaning.
B. The inner cannula is cleansed with hydrogen peroxide when nondisposable cannula is used.
C. Oropharyngeal suctioning should be done before deflating the trach cuff.
D. The incision site should be observed and cleansed only if dried blood surrounds the site.
E. Nonraveling dressings are used to prevent aspiration of lint.
E
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MC The client with an incontinent urinary diversion must
A. practice pelvic floor muscle exercises. B. avoid a high fiber diet. C. wear a pouch for urine collection. D. access urine by catheterization.
The nurse working in a long-term care facility is talking with a client diagnosed with congestive heart failure, diabetes, hypertension, and chronic renal failure, and notes mild edema of the ankles while the client is sitting in the chair
Breath sounds are clear and equal, with good chest excursion, and the client denies any feeling of shortness of breath. The nurse reviews the medical record and sees no significant change in the client's daily weights over the last week. What are the nurse's priority interventions for this client? Select all that apply. Standard Text: Select all that apply. 1. Call the doctor for an order to increase the client's diuretic. 2. Review the client's diet to determine sodium intake. 3. Review the client's BUN and creatinine. 4. Encourage the client to elevate her feet when sitting. 5. Apply antiembolism stockings.
Which of the following is true of cells?
A. The human body contains trillions of microscopic cells. B. Each type of cell has a special function. C. Cells are the basic unit in all living things. D. All of these are true of cells.
When assessing a client's cultural beliefs and values and how they affect the client's interaction with the health care system, a belief about which of the following would the nurse need to determine?
A) Cause of disease B) Health C) Practices for health D) Purpose of life