When doing routine cleaning of a double-lumen tracheostomy tube, the nurse should include which action?
a. Place the patient supine.
b. Reinsert the inner cannula without touch-ing the faceplate of the tracheostomy tube.
c. Rinse the inner cannula in a basin of hy-drogen peroxide.
d. Clean the inner cannula with a pipe clean-er.
D
The inner cannula is cleaned with a pipe cleaner, the patient is put in the semi-Fowler position, and the inner cannula is rinsed in sterile saline or sterile water, rather than peroxide.
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A nurse is caring for four clients. Which client should the nurse assess first?
a. Client with an acute myocardial infarction, pulse 102 beats/min b. Client who is 1 hour post angioplasty, has tongue swelling and anxiety c. Client who is post coronary artery bypass, chest tube drained 100 mL/hr d. Client who is post coronary artery bypass, potassium 4.2 mEq/L
The parents of 1-year-old girl, both of whom have perfect teeth, are concerned about their child getting dental caries. Which is the best advice the nurse can provide?
A) Tell the parents to limit eating to meal and snack times. B) Urge them to take the child to a dentist for a check-up. C) Advise them to reduce carbohydrates in the child's diet. D) Caution them to avoid using fluoride toothpaste.
The chief nursing officer has to write a strategic plan. The most difficult stage in the strategic planning process is:
a. Assessment of the external and internal environment. b. Review of mission statement, goals, and objectives. c. Identification of strategies. d. Implementation of strategies.
The nurse is teaching cardiovascular risk factors to a group of older adults. The nurse stresses that cigarette smokers are four times more likely to die of sudden cardiac death than nonsmokers because smoking
a. interferes with the development of colla-teral coronary vessels. b. produces coronary artery stricture. c. results in carbon monoxide poisoning. d. increases platelet aggregation.