A nurse is providing postoperative teaching to an older adult patient who has undergone a transurethral resection of the prostate.
Which of the following statements should be included in the teaching?

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

Glaucoma is a contraindication for taking propranolol. Propranolol is a non-selective beta- blocker that can decrease intraocular pressure, which could worsen glaucoma.

Choice B rationale

DeBou syndrome is not a recognized medical condition and therefore cannot be a contraindication for taking propranolol.

Choice C rationale

Migraine headaches are not a contraindication for taking propranolol. In fact, propranolol is often used in the prevention of migraines.

Choice D rationale

A history of kidney stones is not a contraindication for taking propranolol. Propranolol does not affect kidney stone formation or exacerbate this condition.