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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The client with slurred speech and confusion could be experiencing a stroke. Recognition of a stroke is an emergency as some forms of stroke requires immediate intervention that is only amenable within a specific time period.
A. A closed femur fracture may have bleeding and other neurovascular damage but this is not as life threatening as a stroke
B. Superficial burns of 10% is likely to have severe pain. The extent of dehydration is minimal
C. Severe vomiting and diarrhea with tachycardia is a sign that the body is compensating for the fluid loss at this point and, therefore, not of highest priority.
Correct Answer is ["B","C"]
Explanation
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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