56. The practical nurse (PN) is caring for a client who has a tracheostomy tube. After donning sterile gloves, in which sequence should the PN should implement these interventions? (Arrange from the first action on top to last on the bottom.)

Insert sterile suction catheter in tracheostomy tube.

Hyperoxygenate with a bag valve mask (BVM) using a nondominant hand.

Activate suction by covering the catheter opening.

Withdraw and rotate the catheter while suction is applied.

Answer and Explanation

The Correct Answer is B, A, C, D

The correct sequence for the interventions when caring for a client with a tracheostomy tube, after donning sterile gloves, is as follows:

Hyperoxygenate with a bag valve mask (BVM) using a nondominant hand. Insert sterile suction catheter in tracheostomy tube.

Activate suction by covering the catheter opening. Withdraw and rotate the catheter while suction is applied.

The first step is to hyperoxygenate the client using a bag valve mask (BVM) with the nondominant hand. This helps to ensure that the client receives adequate oxygenation during the suctioning procedure.

Next, the sterile suction catheter is inserted into the tracheostomy tube. The catheter is carefully advanced until resistance is met, ensuring it does not force its way in.

After the catheter is inserted, the suction is activated by covering the catheter opening. This creates negative pressure and allows for the removal of secretions.

Finally, the catheter is withdrawn and rotated while suction is applied. This helps to thoroughly suction the secretions from the tracheostomy tube.

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Correct Answer is D

Explanation

Cotton is the most suitable fabric for individuals with eczema due to its breathability and hypoallergenic properties.

why the other choices are not the best recommendation:

A.Polyester: Polyester is a synthetic fabric that is not as breathable as natural fibers like cotton. It can trap heat and moisture, potentially exacerbating eczema symptoms and causing discomfort.

B.Silk: While silk is a natural fabric that can feel soft and luxurious, it is not the best choice for individuals with eczema. Silk may cause skin irritation and is not as breathable as cotton.

C.Rayon: Rayon is a semi-synthetic fabric made from cellulose fibers. It can be comfortable and breathable, but it may not be as hypoallergenic as cotton. Some individuals with sensitive skin may still experience irritation when wearing rayon.

A. Health care proxy documentation. B. Name of funeral home to contact. C. Client's wishes regarding organ donation. D. Contact information for the client's next of kin.

Correct Answer is A

Explanation

- A terminally ill client is a client who has a progressive and incurable disease or condition that is expected to result in death within a short period of time, such as months or weeks. A terminally ill client may require palliative care, which is the care that focuses on relieving pain and suﬀering and improving the quality of life for the client and their family.
- An admission assessment is the process of collecting information about a client's health status, needs, preferences, and goals when they are admitted to a health care facility, such as a hospital, nursing home, or hospice. An admission assessment helps to establish a baseline for the client's condition, plan and implement appropriate interventions, and evaluate the outcomes of care.
- A health care proxy is a legal document that allows a client to appoint another person, such as a family member or a friend, to make health care decisions for them if they become unable to do so themselves. A health care proxy may also include specific instructions or preferences about the type and extent of care that the client wishes to receive or refuse, such as life-sustaining treatments, resuscitation, or organ donation.
- Health care proxy documentation is important information that the practical nurse (PN) should collect during the admission assessment of a terminally ill client to an acute care facility, as it reﬂects the client's autonomy, dignity, and wishes regarding their end-of-life care. It also helps to ensure that the client's healthcare decisions are respected and followed by the healthcare team and the facility.

- Therefore, option A is the correct answer, while options B, C, and D are incorrect.

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56. The practical nurse (PN) is caring for a client who has a tracheostomy tube. After donning sterile gloves, in which sequence should the PN should implement these interventions? (Arrange from the first action on top to last on the bottom.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mother of a young child with eczema asks about the type of clothing that is best for her child's comfort. Which choice should the practical nurse (PN) recommend?

Correct Answer is D

Explanation

Which information should the practical nurse (PN) collect during the admission assessment of a terminally ill client to an acute care facility?

Correct Answer is A

Explanation

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