128. 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 on the right. placing them in the selected order of performance, use all the steps.) (ORDERED RESPONSE)

Insert the catheter until resistance is felt

Lubricate the catheter with sterile saline

Rotate the catheter while suctioning

Withdraw the catheter 1 to 2 cm (0.4 to 0.8 in)

Answer and Explanation

The Correct Answer is B,A,D,C

After donning sterile gloves, the nurse must first lubricate the catheter with sterile saline to reduce friction during insertion. The catheter is then inserted gently until resistance is felt, indicating it has reached the tracheal wall. At this point, it should be slightly withdrawn (1–2 cm) to avoid mucosal damage. Suction is then applied while rotating the catheter to evenly clear secretions from the airway.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. The toddler should consume 3 meals and 2 snacks per day: Toddlers typically require small, frequent meals and snacks throughout the day to meet their nutritional needs and support their growth and energy levels.
B. The toddler should drink no more than 3 cups of fat-free milk each day: Fat-free milk is not recommended for toddlers under 2 years because they need dietary fat for brain development; whole milk is usually advised until age 2.
C. The toddler should consume 1500 calories per day by age 2: While caloric needs increase as the child grows, the average caloric requirement at 12 months is approximately 900 to 1000 calories; 1500 calories is more appropriate for older toddlers closer to 2 years.
D. The toddler should be provided adult-size portions starting at 3 years of age: Toddlers require smaller portion sizes than adults, and portion sizes should be age-appropriate; adult portions are generally too large and unnecessary at this age.

A. Orange slices B. Cheddar cheese C. Boiled eggs D. Mixed nuts

Correct Answer is A

Explanation

A. Orange slices: Vitamin C-rich foods like oranges significantly enhance the absorption of nonheme iron found in plant-based diets. This makes them an ideal recommendation for vegetarians needing increased iron intake.
B. Cheddar cheese: Dairy products contain calcium, which can actually inhibit iron absorption, making this an unhelpful choice for enhancing iron uptake.
C. Boiled eggs: While eggs contain some iron, they do not enhance the absorption of nonheme iron and may contain components that slightly interfere with its absorption.
D. Mixed nuts: Although they provide some nonheme iron, they do not improve its absorption. They lack vitamin C and are not effective enhancers on their own.

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Naxlex Comprehensive Predictor Exams

A nurse is providing nutritional teaching to the guardian of a 12.month.old toddler. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse is providing prenatal teaching about iron to a client who follows a vegetarian diet. The nurse should recommend that the client consume which of the following foods to enhance the absorption Of nonheme iron?

Correct Answer is A

Explanation

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