A nurse is caring for a client

Exhibits

D. This role involves overseeing the provision of care to ensure it meets established standards and is safe for the client. By observing the newly licensed nurse perform a straight catheterization, the nurse manager is ensuring that the client receives competent and safe care, which is a primary responsibility of a client advocate.
A. Case manager involves solving incidents that may interfere with management of clients.
B.. As a client educator, the nurse is involved in active client education on illnesses and health promotion practices.
C As a care provider, the nurse involved in direct care of the client rather than supervision.

B. Ensuring the new ties are securely in place before removing the old ties prevents accidental displacement of the tracheostomy tube, which could lead to respiratory distress or other complications
A. Allowing space for three fingers under the ties would make the ties too loose, risking displacement of the tracheostomy tube. The correct practice is to allow space for one or two fingers to ensure the ties are snug enough to secure the tube without being too tight and causing discomfort or pressure injury.
C. Using a quick-release knot or Velcro ties is recommended because it allows for quick removal of the ties in case of an emergency, making it easier and faster to access the tracheostomy site if needed.
However, too loose knots can lead to dislodging of the tube.
D. Extending the client's neck while securing the ties is not recommended because it can cause discomfort and is not necessary for securing the tracheostomy ties. The client should be positioned comfortably with their neck in a neutral position to avoid unnecessary strain or discomfort.