The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently. The nurse replies that the purpose of the inflated cuff is to:

a. prevent regurgitation after meals.
b. hold the trachea open until it is completely healed.
c. dilate the tracheal opening for passage of secretions.
d. prevent aspiration when eating.


D
The cuff is inflated to prevent aspiration when eating or when the tracheostomy tube is being cleaned.

Nursing

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The nurse is caring for a patient who lost her husband 1 year ago. The patient and her husband had been married for 55 years. The patient no longer takes care of herself or cooks and rarely eats, stating she has no appetite

The nurse determines that the nursing diagnosis of Complicated grieving applies to the patient. Which is the priority goal for the patient at this time? a. The patient will shower every other day and eat at least two meals a day. b. The patient will identify personal strengths that will increase coping ability. c. The patient will discuss the meaning of her loss with a family member or close friend. d. The patient will be provided with phone numbers for local community resources.

Nursing

The nurse has determined that a client's intravenous infusion has infiltrated. The assessment finding that is mostly seen with an infiltrated IV would be:

1. a reddened area. 2. warmth along the vein. 3. red stripe along the vein. 4. a cool area near the infusion site.

Nursing

An incarcerated client with a chronic mental illness is being discharged from the forensic unit at the state mental hospital

The nurse case manager uses resources to facilitate the most seamless transition into society. The nurse should make arrangements for the provision of what aftercare services? A) Application for employment with an employment agency B) Day rehabilitation at the community mental health center C) Enrollment in a local vocational school D) Contact numbers for the local police department

Nursing

A 12-year-old girl who has not yet reached menarche comes to the pediatrician's office for her annual well-child check. As the nurse is weighing and measuring her, the child says emphatically that she does not want to get her period

Which of the following responses would be most appropriate for the nurse to make to this child? A) "Really? What have you heard about it that makes you worried?" B) "But it's a good thing. Having a period is a part of growing up." C) "Are you afraid of getting pregnant?" D) "Do you think it will hurt?"

Nursing