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

the nurse plays a role of the client’s advocate to ensure that they understand fully the risks, benefits and steps of the procedure discussed. He or she should address any concerns raised by the client regarding the benefits and risks as explained by the healthcare provider.

B and C. It is the role of the provider to discuss in depth the risks, benefits and alternatives of the scheduled procedure

D. Handling the copy of the informed consent is the role of the record keeper at the facility

A. The client B. The partner C. The provider D. The oldest adult child

Correct Answer is A

Explanation

The oldest child has durable power of attorney to make healthcare decision on behalf of the client when he is unable to make decisions. However, the client in this case is fully oriented and, therefore, he is legally allowed to make the decision unless he explicitly gives the authority to the partner, provider or oldest child.

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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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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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