A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?

Verbalizing all steps in the procedure

Attending a class given about tracheostomy care

Performing the procedure independently

Asking appropriate questions about suctioning

Answer and Explanation

The Correct Answer is C

A. Verbalizing steps is important for understanding but does not demonstrate the ability to perform the procedure.
B. Attending a class is beneficial for learning, but it does not confirm the partner’s practical competence.
C. Performing the procedure independently indicates that the partner can effectively manage suctioning without supervision, demonstrating readiness for discharge.
D. Asking questions is a sign of engagement but does not show practical readiness.

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Correct Answer is B

Explanation

A. While high-fiber foods are generally healthy, they are not specifically targeted to prevent biliary colic. The primary dietary focus should be on fat intake.
B. Avoiding foods high in fat is crucial for clients with chronic cholecystitis, as fatty foods can trigger biliary colic by stimulating the gallbladder to contract.
C. High sodium intake is more related to cardiovascular and kidney health and is not specifically implicated in biliary colic.
D. Including foods high in starch and proteins is not as critical as avoiding fatty foods to prevent episodes of biliary colic.

A. 4 mm erythema B. 10 mm wheal C. 5 mm induration D. 15 mm induration

Correct Answer is D

Explanation

A. 4 mm erythema is generally considered negative or not indicative of TB exposure.
B. 10 mm wheal is an inadequate measurement; a wheal indicates a local reaction but not the size of induration.
C. 5 mm induration may be considered positive in high-risk individuals but is generally not sufficient for standard TB testing.
D. 15 mm induration is indicative of a positive TB test, suggesting significant exposure and possible infection. This measurement is used for clients at average risk.

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A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is B

Explanation

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Correct Answer is D

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