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. Regular insulin is used in the treatment of diabetic ketoacidosis (DKA) due to its rapid onset and ability to lower blood glucose levels quickly. It is administered intravenously for immediate effect.
B. NPH insulin is an intermediate-acting insulin and is not appropriate for the rapid correction needed in DKA.
C. Insulin detemir is a long-acting insulin used for basal insulin control, not suitable for acute DKA treatment.
D. Insulin glargine is a long-acting insulin, which would not be used in the acute setting of DKA where rapid control of blood glucose is required.
Correct Answer is C
Explanation
A. Pain relief is important, but the immediate priority post-surgery is to ensure the client’s airway is not compromised.
B. Promoting oral hygiene is necessary to prevent infection, but it is not the immediate priority.
C. Preventing aspiration is the priority because the client’s jaw is wired shut, increasing the risk of aspiration which can lead to serious respiratory complications.
D. Ensuring adequate nutrition is important for recovery, but it comes after ensuring the client’s airway and breathing are safe and stable.
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