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.)

Petroleum jelly

Obturator

Oxygen tank

Cotton balls

Pipe cleaners

Answer and Explanation

Correct Answer : B,C

A. Petroleum jelly is not recommended for tracheostomy care because it can be aspirated and cause airway obstruction.

B. An obturator is essential to have on hand in case the tracheostomy tube becomes dislodged. It allows for safe reinsertion of the tube and is a critical emergency supply.

C. An oxygen tank may be necessary if the client requires supplemental oxygen therapy at home, depending on their respiratory status.

D. Cotton balls are not recommended for tracheostomy care because fibers can be aspirated and cause airway obstruction.

E. Pipe cleaners are unsafe for tracheostomy care because they can break or leave fragments in the airway. Proper tracheostomy cleaning supplies include sterile swabs or suction catheters.

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Correct Answer is D

Explanation

A.Minimal induration (hardening) at wound edges can be a normal inflammatory response and may not require specialist referral.
B.Epithelialization indicates healing and is a positive sign.
C.Granulation tissue presence suggests the wound is progressing through the healing stages.
D.Slough in the wound bed indicates necrotic tissue, which can impede healing and often requires specialized wound care management. This finding warrants referral to a wound care specialist.

A. Close the door to the client's room. B. Use a fire extinguisher to put out the fire. C. Ensure all of the windows are closed. D. Pull the fire alarm in the hallway.

Correct Answer is D

Explanation

A. Closing the door to the client’s room helps contain the fire and prevent the spread of smoke and flames; however, this occurs after activating the alarm.
B. Using a fire extinguisher is appropriate only after the alarm has been activated and the fire is small and manageable; it is not the next immediate action.
C. Ensuring all windows are closed is not part of the priority sequence in fire response and is not required at this stage.
D. Pulling the fire alarm is the next priority action after rescuing the client, as it alerts others and initiates the facility’s emergency response system according to the RACE protocol (Rescue, Alarm, Contain, Extinguish).

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a pressure injury. Which of the following findings indicates the need for a referral to a wound care specialist?

Correct Answer is D

Explanation

A nurse enters a client's room and notices a small fire in the client's garbage can. After removing the client from the room, which actions should the nurse take next?

Correct Answer is D

Explanation

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