A client is trying unsuccessfully to clear the airway with a cough. The measure the nurse would suggest to help the client cough more effectively is
a. cough while leaning forward.
b. drink milk to coat the throat.
c. insert a large-lumen suction catheter before coughing.
d. place a clean finger over the tracheostomy tube and cough.
D
When the client's condition is stabilized sufficiently, coughing may be enhanced by having the client place a finger over the tracheostomy tube opening while attempting to cough.
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The nurse is caring for a patient with a large open wound. While changing the dressing, the nurse notes purulent drainage
What additional assessments are necessary for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Wound odor 2. Blood urea nitrogen (BUN) 3. Fever 4. Wound bleeding 5. White blood cell count
The nurse is describing the role of the pharmacist in medication administration. Which of the following are correct? (Select all that apply.)
a. Assess the medication plan. b. Review the orders for accuracy and valid-ity. c. Prepare the correct medication. d. Deliver them to the nursing unit. e. Independently adjust incorrect medication errors.
Home care education for children with eczema includes:
1. Applying moisturizers 2 to 3 times a day. 2. Wearing wool and cotton clothing. 3. Keeping the environment warm and humidified. 4. None of the above
When a HoverMattâ transfer and repositioning device is used,
A) four workers are needed to assist the patient with transfers. B) each worker lifts no more than 50 pounds. C) the patient is likely to slip off the mattress during transfers. D) never leave the patient alone on an inflated mattress.