A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?
Verbalizing all steps in the procedure
Attending a class given about tracheostomy care
Performing the procedure independently
Asking appropriate questions about suctioning
The Correct Answer is C
A. Verbalizing steps is important for understanding but does not demonstrate the ability to perform the procedure.
B. Attending a class is beneficial for learning, but it does not confirm the partner’s practical competence.
C. Performing the procedure independently indicates that the partner can effectively manage suctioning without supervision, demonstrating readiness for discharge.
D. Asking questions is a sign of engagement but does not show practical readiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Vitamin C enhances the absorption of non-heme iron from plant-based sources by converting iron to a more absorbable form. Including vitamin C-rich foods with iron-rich meals can improve iron uptake.
B. Oxalates, found in foods like spinach and rhubarb, can inhibit iron absorption by binding to iron and reducing its availability.
C. Fiber, while beneficial for digestive health, does not enhance iron absorption and can, in some cases, inhibit it by binding to minerals.
D. Vitamin A does not have a direct role in the absorption of iron, though it is essential for overall health.
Correct Answer is B
Explanation
A. Pain complaints are a common issue in skeletal traction and should be managed with appropriate interventions, but they do not warrant the removal of weights.
B. In a life-threatening situation, such as an acute deterioration in the client's condition, it is appropriate to remove the weights to address the emergency and stabilize the patient.
C. X-ray imaging should be coordinated with the traction team, but weights should not be removed solely for diagnostic procedures.
D. Repositioning in bed should be done carefully while maintaining the traction setup; removing weights is not typically required for this purpose.
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