A nurse is caring for a client who has a tracheostomy. When providing tracheostomy care, which of the following actions should the nurse perform first?

Change the dressing on the tracheostomy site.

Suction the tracheostomy tube.

Auscultate the client's lungs.

Clean the inner cannula.

Answer and Explanation

The Correct Answer is B

A. Change the dressing on the tracheostomy site: Although changing the dressing is an important part of tracheostomy care, it should be performed after ensuring that the airway is patent and clear. The priority is to maintain an open airway and prevent obstruction.
B. Suction the tracheostomy tube: Suctioning the tracheostomy tube should be performed first to clear any secretions or obstructions that could impair breathing. Ensuring the airway is clear is critical before proceeding with other care tasks.
C. Auscultate the client's lungs: While auscultation is important for assessing lung sounds and the overall respiratory status, it is secondary to ensuring the tracheostomy tube is clear. The priority is to address any potential airway obstructions first.
D. Clean the inner cannula: Cleaning the inner cannula is an essential part of tracheostomy care, but it should be done after ensuring the airway is clear and patent. Prioritizing suctioning ensures that the cannula can be cleaned effectively without interference from secretions.

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Correct Answer is B

Explanation

A. Speech therapist: A speech therapist is typically involved in addressing communication and swallowing difficulties, not difficulties with using utensils.
B. Occupational therapist: This is correct as an occupational therapist specializes in helping clients with daily living activities, including fine motor skills and adaptive techniques for using utensils.
C. Physical therapist: Physical therapists focus on improving mobility, strength, and coordination but do not primarily address difficulties with using utensils.
D. Recreational therapist: Recreational therapists focus on leisure activities and hobbies, which are not directly related to the use of utensils for eating.

A. Clean the client's finger with hexachlorophene. B. Apply the first drop of blood to the test strip. C. Hold the client's finger in a dependent position. D. Prick the central tip of the client's finger.

Correct Answer is C

Explanation

A. Clean the client's finger with hexachlorophene: Hexachlorophene is not recommended for cleaning the skin before blood glucose testing; a mild soap and water or an alcohol swab is typically used.
B. Apply the first drop of blood to the test strip: The first drop of blood is often not used due to potential contamination; the nurse should usually wipe away the first drop and use the second one.
C. Hold the client's finger in a dependent position: This is correct as holding the finger downward can help increase blood flow to the fingertip, facilitating easier blood collection.
D. Prick the central tip of the client's finger: Pricking the central tip can be painful; the sides of the fingertip are preferred for less discomfort and to avoid nerve endings.

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A nurse is caring for a client who has a tracheostomy. When providing tracheostomy care, which of the following actions should the nurse perform first?

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