A nurse is gathering information from a patient who is on metoprolol. What should the nurse anticipate as a possible outcome?

A.Changing the dressing on the tracheostomy site is an important part of tracheostomy care, but it is not the first action that should be taken.

B.Suctioning the tracheostomy tube should only be performed if there are signs of airway obstruction (e.g., increased secretions, decreased oxygenation, or adventitious breath sounds). Suctioning too frequently or unnecessarily can cause mucosal damage and hypoxia.

C. Auscultating the lungs helps the nurse determine if there is increased secretions, diminished breath sounds, or other airway concerns that may require suctioning. This ensures that care is performed appropriately based on the client’s needs.

D.Cleaning the inner cannula is a necessary part of tracheostomy care, but it should bedone after assessing the airway and performing suctioning if needed.

Choice A rationale

Encouraging fluids with meals is not the best choice for a client who has HIV. While hydration is important, drinking fluids with meals can fill the stomach and decrease the client’s appetite, potentially leading to inadequate nutrient intake.

Choice B rationale

Offering small, frequent meals is a recommended intervention for a client who has HIV. This approach can help to maximize nutrient intake and manage symptoms such as nausea and early satiety. This is the correct choice.

Choice C rationale

While fresh fruits and vegetables are generally part of a healthy diet, they may not be appropriate for all clients with HIV. Some individuals may have difficulty digesting these foods, and others may be at risk of infection from uncooked produce.

Choice D rationale

Providing a diet of pureed foods is not a standard intervention for clients with HIV. This approach may be necessary for individuals with certain conditions or symptoms, but it is not applicable to all clients with HIV23.