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?

Asking appropriate querry about suctioning.

Performing the procedure independently.

Attending a class given about tracheostomy care.

Verbalizing all steps in the procedure.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Asking appropriate questions about suctioning indicates interest and understanding but does not demonstrate the ability to perform the procedure.
Choice B rationale
Performing the procedure independently shows that the partner has the necessary skills and confidence to care for the client at home.
Choice C rationale
Attending a class about tracheostomy care is beneficial but does not demonstrate the ability to perform the procedure independently.

Choice D rationale
Verbalizing all steps in the procedure indicates knowledge but does not demonstrate the practical ability to perform the procedure.

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Correct Answer is B

Explanation

Choice A rationale
Fever. This statement is incorrect. While fever can occur in clients with ITP due to infections, it is not a specific manifestation of the condition. ITP primarily affects platelet counts and bleeding tendencies.
Choice B rationale
Ecchymosis. This statement is correct. Ecchymosis, or bruising, is a hallmark manifestation of ITP due to low platelet counts and increased bleeding tendencies. Clients with ITP are prone to bruising and bleeding even with minor trauma.
Choice C rationale
Fatigue. This statement is incorrect. While fatigue can occur in clients with ITP due to anemia or chronic illness, it is not a specific manifestation of the condition. ITP primarily affects platelet counts and bleeding tendencies.
Choice D rationale
Elevated WBC. This statement is incorrect. Elevated white blood cell counts are not typically associated with ITP, which primarily affects platelet counts. An elevated WBC may indicate infection or inflammation but is not specific to ITP10111213.

A. Take temperature weekly. B. Perform mild exercise, such as gardening. C. Avoid crowds. D. Eat plenty of fresh fruits and vegetables.

Correct Answer is C

Explanation

Choice A rationale
Take temperature weekly. This statement is incorrect. Clients with neutropenia should monitor their temperature daily, not weekly, because they are at high risk for infections. A fever can be an early sign of infection, and prompt detection is crucial for timely treatment.
Choice B rationale
Perform mild exercise, such as gardening. This statement is incorrect. While mild exercise can be beneficial, activities like gardening can expose neutropenic clients to soil and plants that may harbor bacteria and fungi, increasing the risk of infection.
Choice C rationale

Avoid crowds. This statement is correct. Neutropenic clients are highly susceptible to infections due to their weakened immune systems. Avoiding crowded places reduces the risk of exposure to pathogens that can cause infections.
Choice D rationale
Eat plenty of fresh fruits and vegetables. This statement is incorrect. While fresh fruits and vegetables are generally healthy, they can harbor bacteria and other pathogens that pose a risk for neutropenic individuals. It is often recommended that neutropenic clients eat cooked or canned fruits and vegetables instead.

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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

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Correct Answer is C

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