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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Painful and red-tinged urine may indicate the presence of kidney stones or other urinary issues, but it is not necessarily related to the IV pyelogram or an immediate concern.
B. An allergy to shellfish is critical to report because the contrast dye used in an intravenous pyelogram may contain iodine, which can cause a reaction in individuals with shellfish allergies.
C. The recent end of the client's period is not relevant to the intravenous pyelogram procedure.
D. Drinking 2 quarts of fluid daily is generally adequate and does not require reporting in relation to the procedure.
Correct Answer is A
Explanation
A. The first action should be to discontinue the existing IV line to prevent further damage and reduce the risk of complications, such as phlebitis or infiltration.
B. Initiating a new IV line is necessary, but it should be done after addressing the issue with the current IV site.
C. Applying a hot pack might help with comfort, but addressing the cause of the irritation (discontinuing the IV) is more critical first.
D. Determining if the client needs to continue IV therapy is important but should follow the immediate step of addressing the current IV site issue.
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