A nurse is contributing to the plan of care for a client who had a tracheostomy placed 2 hr ago. Which of the following interventions should the nurse recommend for the plan of care?

Wear clean gloves when cleansing the tracheostomy site.

Cleanse the tracheostomy site with 0.9% sodium chloride.

Change the client's tracheostomy ties every 72 hr.

Suction the client's tracheostomy every 6 hr.

Answer and Explanation

The Correct Answer is B

A. Wear clean gloves when cleansing the tracheostomy site.
Sterile gloves are required in the immediate post-op period to prevent infection.

B. Cleanse the tracheostomy site with 0.9% sodium chloride.
Isotonic saline is used for routine tracheostomy site cleansing to reduce infection risk.

C. Change the client's tracheostomy ties every 72 hr.
Ties should be changed as needed or per protocol, often more frequently in early post-op period.

D. Suction the client's tracheostomy every 6 hr.
Suction as needed, not on a fixed schedule, to avoid mucosal trauma.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Standing and bending forward at the waist
This position reveals spinal asymmetry, a hallmark of scoliosis.

B. Side-lying and drawing knees to chest
Used to relieve pain or examine the spine, but not standard for scoliosis screening.

C. Sitting with arms out
Does not allow clear visualization of spinal alignment.

D. Lying in a prone position
Ineffective for scoliosis screening because it flattens normal spinal curves.

A. "Eat three large meals each day." B. "Keep your environment well ventilated." C. "Restrict intake of high-carbohydrate foods." D. "Brush your teeth immediately after eating."

Correct Answer is B

Explanation

A. "Eat three large meals each day."
Small, frequent meals are better tolerated during early pregnancy.

B. "Keep your environment well ventilated."
Fresh air and avoiding strong odors help reduce nausea during early pregnancy.

C. "Restrict intake of high-carbohydrate foods."
Complex carbohydrates are often helpful in reducing nausea.

D. "Brush your teeth immediately after eating."
This may worsen nausea due to gag reflex—it's best to wait.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is contributing to the plan of care for a client who had a tracheostomy placed 2 hr ago. Which of the following interventions should the nurse recommend for the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a provider with a scoliosis screening for a school-age child. The nurse should assist the child into which of the following positions for the examination?

Correct Answer is A

Explanation

A nurse is caring for a client who is at 10 weeks of gestation and reports nausea and vomiting on most days. Which of the following recommendations should the nurse make?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take to help the client cope with the body image change resulting from the surgery?

A charge nurse at a long-term care facility ensures that the workload is distributed equally among staff when making assignments. Which of the following ethical principles is the nurse upholding?

A nurse is reinforcing teaching with a newly licensed nurse about discharge planning. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A newly-licensed nurse tells another nurse that their password has expired and asks for assistance with inputting data into a client's electronic medical record. Which of the following statements should the nurse make?

A nurse is reviewing dietary changes for a client who has osteoporosis. Which of the following food choices should the nurse recommend as providing the most calcium?

The nurse has reviewed the Graphic Record and Diagnostic Results at 1030. The nurse is collaborating with another nurse about the client's plan of care. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

A nurse is reinforcing teaching with a newly licensed nurse about delegating tasks to assistive personnel (AP). Which of the following task-specific information should the nurse identify as a contraindication to delegating a task to an AP?

A nurse is collecting data from an older adult client and finds visible bruises on their lower legs. Which of the following client statements should the nurse identify as a risk factor for elder abuse?