A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

Pipe cleaners

Oxygen tank

Obturator

Cotton balls

Petroleum jelly

Answer and Explanation

Correct Answer : B,C

A. Pipe cleaners are not typically used for tracheostomy care. However, tracheostomy care kits may include brushes or other cleaning devices designed for cleaning the inner cannula of the tracheostomy tube.

B. A portable oxygen tank may be necessary for a client with a tracheostomy, particularly if the tracheostomy was placed due to respiratory insufficiency or if the client needs supplemental oxygen to maintain appropriate oxygen saturation.

C. An obturator is used to insert the tube in the case of dislodgement at home.

D. Cotton balls are generally not recommended for tracheostomy care. They can leave fibers behind and may pose a risk of aspiration. They do not serve a significant purpose in the management of a tracheostomy.

B. An oxygen tan is unsafe for use at home as it increases the risk of fire.

E- Petroleum jelly is useful in the later stages when hyper granulation occurs.

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Correct Answer is A

Explanation

decreased level of consciousness indicate that the inflammatory process is spreading to the brain with increasing intracranial pressure. This may lead to herniation which is life threatening.

B. Photophobia is a normal feature of meningitis

C. Increased temperature is expected due to the infectious process

D. Generalized rash over the trunk is a common sign due to some causative organisms

A. "I'm having difficulty climbing the stairs at my house." B. "I am tired of having pain in my joints all the time." C. "I will need assistance with bathing." D. "I need some help planning my meals to maintain my weight."

Correct Answer is C

Explanation

Referral to an occupational therapist is needed when clients experience difficulty with activities of daily living (ADLs) like bathing, grooming, eating and toileting. Bathing relates to personal hygiene whose difficulty may lead to other complications.

Incorrect- A. Walking is an important activity which may need occupational therapy but not as important as bathing

B and D. requires relaxation techniques, analgesics and nutritionist review respectively.

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A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

Nursing Test Bank

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