A nurse is assessing equipment needs in order to perform tracheostomy suctioning on a client. Which of the following pieces of equipment should the nurse gather for the procedure?

Rationale:

A. "I will restrict my fluid intake to less than 1 L per day." Fluid restriction to less than 1L/day is excessive and unnecessary unless the client has severe fluid retention. The client should follow specific instructions from their healthcare provider regarding fluid intake.

B. "It is important to check my blood pressure at different times of the day." This shows understanding of blood pressure fluctuations. Regular monitoring, especially in those with kidney dysfunction, is important to detect abnormal increases.

C. "I understand that I need to restrict potassium in my diet."Impaired renal function can lead to impaired potassium excretion causing hyperkalemia. Potassium restriction helps prevent cardiac complications from elevated potassium levels.

D. "I will check my weight first thing in the morning." Weighing in the morning gives a consistent baseline to track sudden weight changes, which can indicate fluid retention or worsening kidney function.

E. "I will notify my provider if I suddenly notice weight gain." Rapid weight gain can indicate fluid retention or worsening kidney function. The client should inform their provider if this occurs to prevent complications.

F. "I only need to check my weight weekly." Daily weight monitoring is more appropriate for clients with kidney or heart conditions to detect sudden fluid retention. Weekly checks may miss early signs of fluid retention.

Rationale:

A. "Once I take this for a while, I won't need my inhaler anymore." Montelukast is a maintenance medication not a rescue medication. Clients will still need their inhalers for acute asthma attacks, as montelukast is used to prevent symptoms, not provide immediate relief.

B. "I'll take this medication every day, even when I don't have symptoms." Montelukast is meant to be taken daily to prevent asthma symptoms. Taking it consistently, even when symptoms aren't present, helps reduce inflammation and prevent asthma attacks.

C. "I'll take this medication to stop wheezing when I have an attack." Montelukast is not a fast-acting medication and doesn't stop acute wheezing during an asthma attack. Short-acting bronchodilators like albuterol are used for immediate relief during an asthma attack.

D. "I'll make sure I take these tablets on an empty stomach." Montelukast can be taken with or without food, and it does not require an empty stomach. There are no specific instructions regarding food intake, so it can be taken as prescribed at any time of day.