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?
Asking appropriate querry about suctioning.
Performing the procedure independently.
Attending a class given about tracheostomy care.
Verbalizing all steps in the procedure.
The Correct Answer is B
Choice A rationale
Asking appropriate questions about suctioning indicates interest and understanding but does not demonstrate the ability to perform the procedure.
Choice B rationale
Performing the procedure independently shows that the partner has the necessary skills and confidence to care for the client at home.
Choice C rationale
Attending a class about tracheostomy care is beneficial but does not demonstrate the ability to perform the procedure independently.
Choice D rationale
Verbalizing all steps in the procedure indicates knowledge but does not demonstrate the practical ability to perform the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Constant bubbling in the suction-control chamber is expected and indicates that the suction is functioning properly.
Choice B rationale
Bloody drainage in the collection chamber is expected in the immediate postoperative period and does not require intervention.
Choice C rationale
Fluid-level fluctuations in the water-seal chamber are normal and indicate that the system is functioning properly.
Choice D rationale
Continuous bubbling in the water-seal chamber indicates an air leak and requires intervention to prevent complications.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale
A heart rate of 110/min and regular is not an immediate concern in this context. Tachycardia can occur due to various reasons, including anxiety or pain, and does not require immediate follow-up.
Choice B rationale
Oxygen saturation of 95-96% is within the normal range and does not require immediate follow-up.
Choice C rationale
Subcutaneous emphysema requires immediate follow-up because it indicates air leakage into the subcutaneous tissue, which can be a sign of pneumothorax or other complications.
Choice D rationale
A trachea that is midline does not require immediate follow-up as it indicates there is no mediastinal shift.
Choice E rationale
A dry puncture site does not require immediate follow-up as it indicates there is no ongoing issue at the insertion site.
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