The nurse carefully applies suction prior to deflating the cuff on a cuffed tracheostomy in order to prevent which complication?
a. Bleeding
b. Excessive negative pressure
c. Accidental dislodgement of the tube
d. Aspiration
D
By suctioning prior to deflating the cuff, the oral liquids that are trapped above the balloon can-not be aspirated. Bleeding, negative pressure, and dislodgement of the tube are not related to cuff inflation.
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Which statement is true about living arrangements for older adults?
a. Older adults are more independent in their own home than in a residential com-munity. b. The increase in real estate values makes home ownership essential to security. c. Older adults can assist law enforcement officers to prevent crime. d. Florida is an example of a naturally occurring retirement community (NORC).
A client with excess fluid in the pericardial space has what condition?
a. cardiogenic abscess c. atrial effusion b. pericardial effusion d. ventricular effusion
A nurse is caring for a young patient recovering from a traumatic car accident. The patient has lost a lot of blood and is in need of a blood transfusion. The patient states< "I'm a Jehovah's Witness," and will not accept the blood
The nurse knows the patient will likely not survive if they do not receive the blood. What action should the nurse take? a. Administer the blood anyway; the patient will die without it. b. Try to talk the family into signing the consent for the blood. c. Call the physician and report the patient's decision. d. Stop all care for the patient to respect their wishes.
A Navajo client who is 36 weeks pregnant meets with a traditional healer as well as her physician. What does the nurse understand this to mean?
1. The client is seeking spiritual direction. 2. The client does not trust her physician. 3. The client will not adapt to mothering well. 4. The client is experiencing complications of pregnancy.