A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?

Nasal cannula and oxygen

Bite block

Yankauer suction device

Large-handled utensils

Answer and Explanation

The Correct Answer is C

A. A nasal cannula and oxygen may be necessary for clients with respiratory issues but are not specifically relevant for managing dysphagia.

B. A bite block is not typically used for clients with dysphagia and is more relevant for seizure precautions.

C. A Yankauer suction device is essential for clients with dysphagia to clear secretions and prevent aspiration, making it the most important equipment to have available.

D. Large-handled utensils can help clients with limited dexterity but do not specifically address the concerns related to dysphagia management.

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Correct Answer is C

Explanation

A. It is the provider's responsibility, not the nurse's, to disclose the expected outcomes, risks, and alternatives of a treatment. The nurse ensures the client understands what was explained, but does not disclose this information themselves.

B. While consent allows nurses to perform interventions, the primary responsibility for obtaining informed consent lies with the provider who is performing the procedure.

C. The nurse's signature on the consent form signifies that they witnessed the client sign the document and that the client appeared competent and gave voluntary consent. This is the correct role of the nurse in the informed consent process.

D. Informed consent must be written for procedures, although verbal consent can be used for some less invasive treatments, but this is not standard for most medical or surgical procedures.

A. Clean gloves are discarded after removing the old dressing. B. The soiled dressing is placed on a nearby table. C. Gauze is used to clean the wound from the outside to the center. D. Sterile supplies are opened prior to removing the old dressing.

Correct Answer is A

Explanation

A. Discarding clean gloves after removing the old dressing demonstrates correct infection control practices by minimizing the risk of cross-contamination before handling sterile supplies.

B. Placing the soiled dressing on a nearby table is incorrect as it increases the risk of contaminating the environment and spreading infection; the soiled dressing should be immediately disposed of in a proper waste container.

C. Gauze should be used to clean from the inside of the wound outwards to prevent introducing contaminants into the wound from surrounding skin, which makes cleaning from the outside to the center incorrect.

D. Sterile supplies should only be opened after removing the old dressing to maintain the sterility of the materials and avoid contamination during the dressing change procedure.

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A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about informed consent. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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