A nurse is planning care for a client who has a tracheostomy. Which of the following interprofessional team members should the nurse anticipate a provider's prescription for a referral to manage the client's tracheostomy?
Social worker
Respiratory therapist
Occupational therapist
Registered dietitian
The Correct Answer is B
A. Social worker: Social workers assist with social, emotional, and financial aspects of care, but they do not manage tracheostomies.
B. Respiratory therapist: This is the correct answer. Respiratory therapists specialize in airway management, including tracheostomy care, and are the appropriate team members for managing this aspect of care.
C. Occupational therapist: Occupational therapists help clients with activities of daily living and adaptive equipment but do not manage tracheostomies.
D. Registered dietitian: Dietitians focus on nutritional care and are not involved in tracheostomy management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Your colostomy will not produce formed stool." A sigmoid colostomy is located in the lower part of the large intestine where stool is typically more formed. Therefore, this statement is incorrect and should not be included in the teaching.
B. "You should expect your stoma to be a purple color." A healthy stoma should be pink or red and moist. A purple, dusky, or dark color may indicate compromised blood flow to the stoma and is a sign of a medical emergency. This statement is incorrect.
C. "The end of the stoma will be painful after this procedure." The stoma itself does not have nerve endings, so it should not be painful. Pain around the incision site may occur, but the stoma itself should not be painful. This statement is incorrect.
D. "You will have a stoma in your left lower abdomen." The sigmoid colon is located on the lower left side of the abdomen, so the stoma for a sigmoid colostomy is typically placed in this area. This statement is correct.
Correct Answer is D
Explanation
A. Metabolic Acidosis: Clients with COPD are more prone to respiratory acid-base imbalances rather than metabolic ones.
B. Respiratory Alkalosis: COPD is characterized by chronic retention of CO₂, leading to acidosis, not alkalosis.
C. Metabolic Alkalosis: Metabolic alkalosis is not commonly associated with COPD.
D. Respiratory Acidosis: Clients with COPD are at risk for respiratory acidosis due to the retention of carbon dioxide (CO₂), which occurs when alveolar ventilation is impaired.
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