The nurse is using a curved hard plastic tube to suction the client's oral cavity. Which term does the nurse use when referring to this piece of equipment?
1. Whistle-tipped catheter
2. Yankauer suction tube
3. Open-tipped catheter
4. Closed suctioning system
Correct Answer: 2
The Yankauer suction tube is a hard plastic device used for suctioning the client's oral cavity. Whistle-tipped and open-tipped catheters are soft, pliable catheters, and a closed suctioning system is an inline catheter covered by a plastic sheath.
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The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. For which symptoms should the nurse monitor this child?
1. Respiratory distress and cyanosis 2. Thrombocytopenia and leukocytosis 3. Oliguria and altered levels of consciousness 4. Upper-extremity edema and neck vein distension
A client has been referred for a mental health evaluation by the client's workplace because of "weird" behavior that is interpreted as mental illness. The nurse should ask about the client's culture and religious beliefs because:
1. the workplace is prejudiced. 2. what is normal in one culture might not be in another. 3. the client exhibits anger. 4. religions cause mental illness.
Devastated by a divorce from an abusive husband, a wife completes grief counseling. Which statement by the wife should indicate to a nurse that the client is in the acceptance stage of grief?
A. "If only we could have tried again, things might have worked out." B. "I am so mad that the children and I had to put up with him as long as we did." C. "Yes, it was a difficult relationship, but I think I have learned from the experience." D. "I still don't have any appetite and continue to lose weight."
The nurse caring for a patient with acute pancreatitis assesses a bluish tinge around the patient's umbilicus. The nurse recognizes that this finding likely results from which underlying problem?
a. Increased amylase b. Retroperitoneal hemorrhage. c. Inflammatory response to a pseudocyst d. Ascites