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.)
Obturator
Cotton balls
Oxygen tank
Pipe cleaners
Petroleum jelly
Correct Answer : A,C
Rationale:
A. The obturator is needed in case the tracheostomy tube becomes dislodged, allowing safe reinsertion.
B. Cotton balls should not be used near the tracheostomy because fibers can be inhaled and cause airway obstruction.
C. An oxygen tank may be required to ensure adequate oxygenation at home, especially if the client has respiratory compromise.
D. Pipe cleaners are unsafe for cleaning tracheostomy equipment because they can leave particles or cause trauma. Only sterile, manufacturer-approved cleaning devices should be used.
E. Petroleum jelly is not recommended because it can occlude the airway and increase infection risk; water-based lubricants are preferred if lubrication is necessary.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. A living will provides instructions for end-of-life care but does not authorize emergency surgical procedures.
B. The Good Samaritan Act protects healthcare providers who give emergency care outside a healthcare setting, not in-hospital surgical consent.
C. Joint liability refers to shared legal responsibility and is not related to consent for treatment.
D. Implied consent allows healthcare providers to perform emergency procedures when a client is unconscious or unable to give consent, and no legal representative is available, making it the correct legal guideline in this scenario.
Correct Answer is B
Explanation
Rationale:
A. A qualified medical interpreter—not a family member—should be used to obtain informed consent from a client who is deaf to ensure accuracy and confidentiality.
B. A durable power of attorney for healthcare can legally provide consent on behalf of a client who is unable to make their own healthcare decisions, making this statement correct.
C. Nurses can clarify information but cannot provide new information or answer questions about risks, benefits, or alternatives—that is the provider’s responsibility.
D. Emancipated minors can provide their own consent; a guardian’s consent is not required.
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