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 B
Explanation
Choice A rationale
8 oz black tea is not recommended for clients with iron deficiency anemia as it contains tannins, which can inhibit iron absorption.
Choice B rationale
1 cup canned black beans is a good source of non-heme iron, which can help improve iron levels and alleviate fatigue associated with iron deficiency anemia.
Choice C rationale
8 oz whole milk is not a good source of iron and can interfere with the absorption of iron from other foods.
Choice D rationale
15 oz raisins contain some iron but are not as rich in iron as black beans. Additionally, the high sugar content in raisins may not be ideal for all clients.
Correct Answer is B
Explanation
Choice A rationale
Progressive increase in platelet production is not a characteristic of DIC. DIC typically involves a decrease in platelet count due to consumption.
Choice B rationale
Excessive thrombosis and bleeding are hallmark features of DIC, as the condition involves both clot formation and bleeding due to the consumption of clotting factors.
Choice C rationale
Immediate sodium and fluid retention are not characteristic findings of DIC.
Choice D rationale
Increased clotting factors are not seen in DIC; instead, there is a consumption of clotting factors leading to their decrease.
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