A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take?

Lubricate the suction catheter tip with sterile saline

Suction two to three times with a 50-second pause between passes

Hyperventilate the client on 100% oxygen prior to suctioning

Perform chest physiotherapy prior to suctioning

Answer and Explanation

The Correct Answer is C

Answer: C. Hyperventilate the client on 100% oxygen prior to suctioning

Rationale:

A) Lubricate the suction catheter tip with sterile saline: Lubricating the suction catheter tip is not recommended, as it can introduce additional fluids into the airway and may contribute to complications or further secretions.

B) Suction two to three times with a 50-second pause between passes: While it is appropriate to limit suctioning passes to minimize trauma, the pause should generally be 30 seconds to allow for reoxygenation. A 50-second pause could result in hypoxia.

C) Hyperventilate the client on 100% oxygen prior to suctioning: This action is crucial as it helps to preoxygenate the client, minimizing the risk of hypoxia during the suctioning procedure. Hyperventilation with 100% oxygen helps maintain adequate oxygen levels, especially when the airway may be compromised.

D) Perform chest physiotherapy prior to suctioning: While chest physiotherapy can help mobilize secretions, it is typically done as a separate intervention and not immediately before suctioning. The priority during suctioning is to clear secretions efficiently and safely, and chest physiotherapy may not be necessary right before this procedure.

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Correct Answer is C

Explanation

To determine the total number of units of insulin to prepare in the insulin syringe, add together the prescribed doses of regular insulin and NPH insulin.

Regular insulin: 14 units NPH insulin: 28 units

Total: 14 units (regular insulin) + 28 units (NPH insulin) = 42 units

Therefore, the nurse should prepare a total of 42 units of insulin in the insulin syringe: 14 units of regular insulin and 28 units of NPH insulin

A. "My child must be free from this before returning to school" B. "Toys that can't be dry cleaned or washed must be thrown out." C. "All recently used clothing, bedding, and towels must be washed in hot water" D. "I will treat all the family members to be on the safe side. "

Correct Answer is C

Explanation

A. "My child must be free from this before returning to school": While it's important for the child to be treated and free from head lice before returning to school, this statement alone doesn't address the comprehensive measures needed to eradicate pediculosis capitis. It focuses only on the child's return to school without considering other aspects of treatment and prevention.
B. "Toys that can't be dry cleaned or washed must be thrown out": Throwing out toys that can't be dry cleaned or washed is an extreme measure and unnecessary for managing pediculosis capitis. While cleaning items that come into contact with the child's head is important, it's not necessary to dispose of toys unless they cannot be effectively cleaned.
C. "All recently used clothing, bedding, and towels must be washed in hot water": This statement indicates a thorough understanding of the teaching. Washing recently used clothing, bedding, and towels in hot water is an essential step in eliminating head lice and preventing reinfestation. Hot water helps kill lice and their eggs, reducing the risk of transmission.
D. "I will treat all the family members to be on the safe side": Treating all family members is a prudent measure to prevent the spread of head lice within the household. However, this statement alone doesn't address other important aspects of treatment and prevention, such as washing bedding and clothing. While treating family members is important, it's only one part of a comprehensive approach to managing pediculosis capitis.

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A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

Correct Answer is C

Explanation

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Explanation

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