11. A nurse is caring for a client who has a tracheostomy and requires suctioning. Identify the sequence of steps the nurse should follow after applying sterile gloves. (Move the steps into the box, placing them in the selected order of performance. Use all the steps.)

A. Soy. While soy can have mild estrogen-like effects and may influence thyroid function or interact with certain medications, it is not typically associated with hypotension or increased surgical bleeding risk.
B. Black cohosh. Black cohosh is often used to manage menopausal symptoms but is known to cause vasodilation and hypotension in some individuals. Its use can increase the risk of low blood pressure during anesthesia and surgery.
C. Flaxseed. Flaxseed is commonly used for digestive health and cardiovascular support. It may have mild blood pressure–lowering effects but is not strongly linked to significant hypotension during surgery.
D. Probiotics. Probiotics support gut flora and immunity but do not affect blood pressure significantly. They are not associated with intraoperative complications like hypotension.

A. Offer the client saltine crackers between meals. Saltine crackers are dry and salty, which can worsen symptoms of xerostomia (dry mouth) by further irritating and drying the oral mucosa. Moist, soft foods are more appropriate.
B. Suggest rinsing his mouth with an alcohol-based mouth wash. Alcohol-based mouthwashes should be avoided in clients with dry mouth as they can exacerbate oral dryness and irritation. Alcohol-free rinses are recommended instead.
C. Instruct the client on the use of esophageal speech. Esophageal speech is used in clients who have had laryngectomies, not those experiencing xerostomia. This intervention is unrelated to the client's current condition.
D. Provide humidification of the room air. Using a humidifier adds moisture to the environment, which helps relieve oral dryness and makes the client more comfortable, especially during sleep or in dry indoor climates.