A patient has had a tracheostomy and the nurse is prepared to conduct tracheostomy care. What part of the tracheostomy tube is removed for cleaning?
A) obturator B) outer cannula C) inner cannula D) cuff
C
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How much IV fluid would you document as fluid intake if 625 mL is left in a 1,000-mL IV bag? _______________
a. 375 mL b. 275 mL c. 400 mL d. 625 mL
Which characteristics of the unit milieu are most likely to result in a low incidence of violent behavior?
a. A milieu that emphasizes maintaining control and structure b. A unit that is adequately staffed and not overcrowded c. A unit that has a high percentage of newer, fresher staff d. A milieu that focuses on privileges to reward or punish behavior
A patient is very suspicious and states, "The FBI has me under surveillance." Which strategies should a nurse use when gathering initial assessment data about this patient? Select all that apply
a. Tell the patient that medication will help this type of thinking. b. Ask the patient, "Tell me about the problem as you see it." c. Seek information about when the problem began. d. Tell the patient, "Your ideas are not realistic." e. Reassure the patient, "You are safe here."
The nurse would give an Apgar score of _________ for a neonate who has respirations of 98, a good strong cry, mild flexion of the limbs, cries when reflex tested, and a pink body with blue extremities
Fill in the blank(s) with correct word