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The nurse is performing tracheostomy care for a client when a code blue is called for another client on the unit who experiences a cardiopulmonary arrest. Which action should the nurse take?

A.

Call for an assistant.

B.

Respond to the code.

C.

Finish the procedure.

D.

Close the room door.

Answer and Explanation

The Correct Answer is A

Tracheostomy care is done to keep the trach tube clean and prevent infections. It involves suctioning and cleaning parts of the tube and the skin around the stoma. A code blue is a hospital emergency code that indicates a life-threatening situation, such as cardiac or respiratory arrest. It requires immediate attention from trained personnel.

According to the American Association of Critical-Care Nurses (AACN), the nurse should take the following action in this scenario:

  • Call for an assistant to stay with the client who is receiving tracheostomy care and continue the procedure.
  • Respond to the code blue and assist with resuscitation efforts for the other client.
  • Return to the client who is receiving tracheostomy care as soon as possible and complete the procedure.

Therefore, the correct answer is a. Call for an assistant.


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Related Questions

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

A. Understanding: The client recognizes that taking allergy medications before the hike might  have helped prevent an exacerbation. 

B. No understanding: The client doesn't realize that eating a snack could impact asthma  symptoms. Proper education is needed here. 

C. Understanding: The client acknowledges that exposure to cigarette smoke during the hike  could have contributed to the exacerbation. 

D. Understanding: The client identifies that stress management could be important in preventing  asthma exacerbations. 

E. No understanding: The client is not aware that taking an extra dose of Fluticasone-Salmeterol  could have been beneficial. Further education is necessary. 

Correct Answer is A

Explanation

A low serum creatinine level indicates decreased muscle mass or impaired kidney function. However, it does not necessarily indicate that the 24-hour creatinine clearance test should be withheld or delayed.

Initiating the urine collection as prescribed allows for the accurate assessment of creatinine clearance and provides valuable information about the client's kidney function. The test results can help guide further evaluation and management of the client's condition.

Assessing the client's serum BUN level, notifying the healthcare provider of the results, or assessing for signs of hypokalemia may be relevant in certain situations but are not the immediate priority based on the information provided.

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