A nurse is caring for a client who has a tracheostomy.
Which of the following actions should the nurse take?
Secure the tracheostomy ties to allow one finger to fit snugly underneath.
Cleanse the skin around the stoma with normal saline.
Soak the outer cannula in warm, soapy tap water.
Use a cotton tip applicator to clean inside the inner cannula.
The Correct Answer is A
Secure the tracheostomy ties to allow one finger to fit snugly underneath. This is important to ensure that the tracheostomy tube is secure and in place.
Choice B is wrong because normal saline is not typically used to cleanse the skin around the stoma.
Choice C is wrong because soaking the outer cannula in warm, soapy tap water is not a recommended method of cleaning.
Choice D is wrong because a cotton tip applicator should not be used to clean inside the inner cannula.
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Related Questions
Correct Answer is D
Explanation
The nurse should place the extremity in a dependent position before inserting an IV catheter.
This helps to dilate the veins and make them more visible and easier to access.
Choice A is wrong because the nurse should choose a site that is distal to the most proximal site on the extremity selected.
This helps to preserve more proximal sites for future use if needed.
Choice B is wrong because applying a cool compress before insertion of an IV catheter can cause vasoconstriction and make it more difficult to access the vein.
Instead, a warm compress can be applied to help dilate the veins.
Choice C is wrong because the tourniquet should be placed above, not below, the proposed insertion site to help dilate the vein and make it easier to access.
Correct Answer is D
Explanation
“I can apply lotion to soften calluses as long as I don’t put lotion between my toes.” This is because moisturizing can help keep skin soft and prevent corns and calluses from forming.
However, it is important to avoid putting lotion between the toes as this can increase the risk of infection 1.
Choice A is wrong because soaking feet in warm water daily can soften corns and calluses, making it easier to remove the thickened skin 2.
Choice B is wrong because while using corn pads can help protect the area where corn has formed, it is important to follow the manufacturer’s instructions for use and removal.
Choice C is wrong because using over-the-counter liquid medication to remove corn is not recommended for people with diabetes.
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