A nurse is planning to perform tracheostomy care for a toddler.
which of the following is an appropriate action for nurse to take?
use clean technique to change the tracheostomy tube.
clean around the stoma with full -strength hydrogen peroxide.
Place the child in Trendelenburg position when performing care.
Have the child flex his head when securing the ties.
The Correct Answer is D
The correct answer is D. Have the child flex his head when securing the ties.
Explanation:
When securing tracheostomy ties, flexing the head helps ensure the ties are snug but not too tight. This minimizes the risk of accidental dislodgement while allowing proper airway support.
Why the other options are incorrect:
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A. Use clean technique to change the tracheostomy tube – Incorrect. Sterile technique is required when changing the tracheostomy tube to prevent infection, especially in pediatric clients.
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B. Clean around the stoma with full-strength hydrogen peroxide – Incorrect. Diluted hydrogen peroxide or saline is recommended to avoid tissue irritation. Full-strength hydrogen peroxide can damage delicate skin around the stoma.
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C. Place the child in Trendelenburg position when performing care – Incorrect. The Trendelenburg position (head down, feet up) is not used for tracheostomy care and can increase the risk of aspiration or breathing difficulties.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Having a vocabulary of 30 words is not a finding that should be reported to the provider for a 24-month-old toddler. By 24 months, most children can say 50 words or more.
Choice B rationale
Sleeping 11 to 12 hours per day is not a finding that should be reported to the provider for a 24-month-old toddler. This is a typical amount of sleep for a child this age.
Choice C rationale
Eating a large amount of food one day then very little the next is not a finding that should be reported to the provider for a 24-month-old toddler. Toddlers often have variable appetites, and it’s normal for them to eat more on some days and less on others.
Choice D rationale
Holding his breath when having a temper tantrum is a finding that should be reported to the provider for a 24-month-old toddler. While breath-holding spells can be a normal part of toddler behavior, they can also be a sign of an underlying medical condition. It’s important for the provider to evaluate this behavior to rule out any potential health concerns.
Correct Answer is ["A"]
Explanation
The correct answer is choiceA. Your child should walk the bicycle through intersections.
Choice A rationale:
Walking the bicycle through intersections is a key safety measure to prevent accidents.It ensures that the child is more visible to drivers and reduces the risk of collisions.
Choice B rationale:
This is incorrect because the child’s feet should be able to touch the ground comfortably when seated on the bicycle, but not necessarily three to six inches off the ground.Proper seat height is crucial for balance and control.
Choice C rationale:
Keeping the bicycle at least three feet from the curb is not a standard safety recommendation.Instead, children should ride as close to the curb as safely possible, following the flow of traffic.
Choice D rationale:
Riding against the flow of traffic is dangerous and increases the risk of accidents.Bicyclists should always ride with the flow of traffic to be more predictable to drivers.
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