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 B

Explanation

A. Total parenteral nutrition (TPN) tubing should generally be changed every 24 hours due to the risk of infection, so changing it every 48 hours would not be appropriate or safe.

B. Changing peripheral IV primary tubing every 96 hours is both safe and cost-effective. It aligns with evidence-based guidelines to reduce the risk of infection while avoiding unnecessary frequent changes.

C. Peripheral IV solution bags should be replaced more frequently than every 96 hours, typically every 24 hours, due to the risk of bacterial contamination.

D. TPN solution bags should be replaced every 24 hours, not every 48 hours, to prevent infection and maintain solution stability.

A. Green B. Yellow C. Black D. Red

Correct Answer is C

Explanation

A. Green is used for clients who are non-urgent and can wait for care, typically those with minor injuries.

B. Yellow is for clients who require monitoring but are stable and not in immediate danger.

C. Black is the appropriate triage tag for a client with full-thickness burns covering 72% of their body, indicating a likely fatal condition and prioritizing resources for those with a better chance of survival.

D. Red is assigned to clients who are critical and require immediate care but can survive with intervention, which does not apply in this case due to the extent of the burns.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Correct Answer is B

Explanation

A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?

Correct Answer is C

Explanation

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