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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In emergency situations where immediate surgery is required to preserve life or prevent serious harm, and the client is unconscious and unable to provide consent, treatment may proceed without informed consent under implied consent.
B.Delaying surgery to obtain consent could jeopardize the client’s life or outcome, and is not ethically or legally appropriate in a true emergency.
C.Telephone consent from a facility administrator is not a substitute for legal consent. Administrators are not authorized to give medical consent for clients.
D.The anesthesiologist cannot legally provide consent on behalf of the client; this would be a breach of ethical and legal standards.
Correct Answer is C
Explanation
A. Used to illustrate processes or workflows, not to measure outcomes. They help visualize steps in a procedure or identify where problems might occur.
B. Also known as fishbone diagrams, these are used to identify possible causes of a problem, not to measure outcomes.
C. Clinical indicators are measurable items that reflect the quality of care and are used to evaluate outcomes in quality improvement projects. Examples include infection rates, readmission rates, and patient satisfaction scores.
D. SBAR (Situation, Background, Assessment, Recommendation) is a structured communication method, not a tool for measuring
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