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 C
Explanation
A. This set shows a low pH, normal HCO3-, and high PaCO2, indicative of respiratory acidosis, not typical for chronic kidney disease.
B. This set shows a high pH, elevated HCO3-, and low PaCO2, indicative of metabolic alkalosis, which is not characteristic of chronic kidney disease.
C. Chronic kidney disease often leads to metabolic acidosis with low pH, low HCO3-, and normal or low PaCO2 as the kidneys fail to excrete acid effectively.
D. This set shows a high pH and low HCO3-, with a near-normal PaCO2, which does not align with the typical metabolic acidosis seen in chronic kidney disease.
Correct Answer is D
Explanation
A. Obtaining a culture may be necessary if an infection is suspected, but checking the type of drainage takes priority to determine the nature of the fluid.
B. Documenting the amount of drainage is important but should be done after determining the type of drainage.
C. Notifying the provider is crucial if the drainage is abnormal, but identifying the nature of the drainage should come first.
D. Checking the drainage for glucose is critical as it may indicate cerebrospinal fluid (CSF) leakage, a serious complication that requires prompt intervention.
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