A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

Pipe cleaners

Oxygen tank

Obturator

Cotton balls

Petroleum jelly

Answer and Explanation

Correct Answer : B,C

A. Pipe cleaners are not typically used for tracheostomy care. However, tracheostomy care kits may include brushes or other cleaning devices designed for cleaning the inner cannula of the tracheostomy tube.

B. A portable oxygen tank may be necessary for a client with a tracheostomy, particularly if the tracheostomy was placed due to respiratory insufficiency or if the client needs supplemental oxygen to maintain appropriate oxygen saturation.

C. An obturator is used to insert the tube in the case of dislodgement at home.

D. Cotton balls are generally not recommended for tracheostomy care. They can leave fibers behind and may pose a risk of aspiration. They do not serve a significant purpose in the management of a tracheostomy.

B. An oxygen tan is unsafe for use at home as it increases the risk of fire.

E- Petroleum jelly is useful in the later stages when hyper granulation occurs.

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Correct Answer is B

Explanation

Being difficult to arouse may be and indicator of respiratory depression which is a common side effect of opioid use. This is more common when given in high doses. Although benzodiazepines could cause respiratory depression, the risk is lower.

A. opioid is more likely to be the cause of respiratory depression

C. continuing the medications despite the increased risk of respiratory depression is unethical

D. An NSAID is unlikely to provide optimal analgesia which is a key goal in end of life care,

A. "Once I sign my living will, a family member must co-sign it." B. "My durable power of attorney for health care is part of my advance directives." C. "I will wait until I have a serious health problem to sign my advance directives." D. "My doctor will need to provide approval for the decisions outlined in my living will."

Correct Answer is B

Explanation

Advance directives are legally binding documents that one uses to express their health care wishes for when they are unable to do so in the future. They include a living will, durable power of attorney. They are signed by the individual when they are mentally capable and healthy.

A. Only the individual signs the advanced directives

C. They are signed when one is healthy and mentally sound

D. The doctor has no role in the writing of a living will.

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A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is providing teaching to a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

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