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A nurse is preparing to perform tracheostomy care for a client.
In which order should the nurse take the following steps?

(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Apply clean tracheostomy ties.

Wear clean gloves to remove the tracheostomy dressing.

Ensure a method to communicate during the procedure.

Clean the inner cannula using a small brush.

Answer and Explanation

The Correct Answer is C,B,D,A

The correct order is:

1. Ensure a method to communicate during the procedure.

2. Wear clean gloves to remove the tracheostomy dressing.

3. Clean the inner cannula using a small brush.

4. Apply clean tracheostomy ties.

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Correct Answer is C

Explanation

Choice A rationale

Traveling by plane is safe for individuals with pacemakers. Security procedures at airports can be managed with proper precautions and communication with security staff.

Choice B rationale

MRIs are generally contraindicated for individuals with pacemakers due to the strong magnetic fields. CAT scans are usually a safer alternative.

Choice C rationale

Holding the cell phone on the opposite side of the pacemaker is recommended to avoid potential interference with the device.

Choice D rationale

Modern microwave ovens are well shielded and do not pose a risk of interference with pacemakers. Individuals with pacemakers can safely use microwaves.

A. "I will perform breast exams the day my period begins.”. B. "I will perform breast exams every other month.”. C. "It is common for the skin on my breasts to dimple.”. D. "It is common for one breast to be larger than the other.”.

Correct Answer is D

Explanation

Choice A rationale

Performing breast exams on the first day of the menstrual cycle is not recommended because hormonal fluctuations can affect breast tissue.

Choice B rationale

Breast self-examinations should be performed monthly, not every other month, to detect any changes in breast tissue.

Choice C rationale

Skin dimpling on the breast can be a sign of breast cancer and should not be considered common. It requires medical evaluation.

Choice D rationale

It is normal for one breast to be slightly larger than the other, and this variation is common among women.

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A nurse is preparing to perform tracheostomy care for a client. In which order should the nurse take the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

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Correct Answer is C

Explanation

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Correct Answer is D

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A nurse is preparing to perform tracheostomy care for a client.
In which order should the nurse take the following steps?

(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)