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 A
Explanation
A. A decrease in heart rate can indicate adequate fluid resuscitation as it suggests improved circulatory status and reduced compensatory tachycardia, which is a response to hypovolemia.
B. An increase, rather than a decrease, in blood pressure would typically indicate improved fluid status and perfusion following adequate fluid resuscitation.
C. Weight changes are not an immediate indicator of fluid resuscitation adequacy. Weight reflects overall fluid balance over a longer period.
D. An increase, not a decrease, in urine output is expected with adequate fluid resuscitation, as improved renal perfusion results in better urine production.
Correct Answer is C
Explanation
A. Although aspirin has analgesic properties, its primary purpose in the context of myocardial infarction is not pain relief but rather to prevent further cardiac events.
B. Aspirin has antipyretic effects, but this is not the primary reason it is used in post-MI treatment.
C. Aspirin is used as an antiplatelet aggregate to prevent clot formation, which reduces the risk of another myocardial infarction. It inhibits platelet aggregation, making it crucial in secondary prevention.
D. While aspirin does have anti-inflammatory properties, its primary role in post-MI care is to prevent platelet aggregation and reduce the risk of future cardiac events.
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