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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Clients with hepatitis B should never donate blood, even after completing treatment, as they can remain carriers of the virus.
B. Resting frequently is essential for clients with hepatitis B as it helps the body recover and conserve energy during the healing process.
C. A high-protein diet is not recommended for hepatitis B patients; a balanced diet with adequate calories and nutrients is more appropriate to support liver health.
D. Acetaminophen is metabolized by the liver and should be used cautiously or avoided in clients with hepatitis B to prevent further liver damage.

A. Tachycardia B. Restlessness C. Hypotension D. Amnesia

Correct Answer is B

Explanation

A. Tachycardia is not a classic indicator of increased ICP. Increased ICP is more commonly associated with bradycardia or changes in heart rate patterns.

B. Restlessness can be an early sign of increased ICP, as it often reflects changes in brain function and consciousness. This should be monitored closely in a client with a traumatic brain injury.

C. Hypotension is not typically associated with increased ICP; in fact, elevated blood pressure is more commonly seen in cases of increased ICP.

D. Amnesia, while it may be related to brain injury, is not a direct sign of increased ICP. The more direct indicators are changes in level of consciousness, restlessness, and altered vital signs.

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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?

Nursing Test Bank

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