A nurse is teaching a newly hired LPN about trach care. The nurse should include that the inner cannula should be cleaned with a brush and then dried with a

lint-free pipe cleaner

The inner cannula does not need to be dried before reinserting it into the outer cannula.

Q-tip

medical air

Answer and Explanation

The Correct Answer is A

A. Lint-free pipe cleaner: A lint-free pipe cleaner is ideal for drying the inner cannula because it won’t introduce fibers or debris into the airway. It ensures that the cannula is thoroughly dried without increasing the risk of aspiration or airway irritation from lint.

B. The inner cannula does not need to be dried before reinserting it into the outer cannula: Moisture left inside the cannula can promote bacterial growth and lead to infection. Drying the cannula is an essential step to prevent microbial contamination and to maintain patency and safety.

C. Q-tip: Q-tips can shed fibers and are not suitable for internal tracheostomy components. Using them may lead to lint being introduced into the airway, increasing the risk of irritation or infection.

D. Medical air: Medical air is not used to dry tracheostomy components. It is not practical, and it may not fully dry narrow internal surfaces. Manual drying with a lint-free material is safer and more effective.

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Correct Answer is A

Explanation

A. Assess the posterior pharynx for active bleeding:Frequent throat clearing without reported pain after a tonsillectomy may indicate active bleeding, which can be life-threatening. Silent bleeding may drip down the throat and trigger subtle clearing rather than coughing or spitting, making visual inspection an immediate priority.

B. Place the client in the side lying position:Side-lying can help prevent aspiration if bleeding occurs, but it does not replace the need to directly assess for bleeding first. Positioning should follow an initial airway and bleeding assessment.

C. Give the client juice through a straw:Using a straw is discouraged after tonsillectomy because the suction motion can disrupt clots and provoke bleeding. Juice may be appropriate for hydration, but not with a straw and not before checking for bleeding.

D. Offer the client ice cream to coat the throat:Cold soft foods like ice cream may soothe the throat and reduce swelling, but this should not be the first action when silent bleeding is suspected. The priority is ensuring that no active bleeding is occurring before offering food.

A. Fat-soluble vitamins B. Pancreatic enzymes C. Water-soluble minerals D. Salt supplements

Correct Answer is B

Explanation

A. Fat-soluble vitamins:Children with cystic fibrosis often require supplementation with fat-soluble vitamins (A, D, E, and K) due to impaired fat absorption. However, these alone do not facilitate digestion; they are supplemental and secondary to enzyme therapy.

B. Pancreatic enzymes:Pancreatic enzymes are essential for children with cystic fibrosis because thick mucus blocks pancreatic ducts, preventing digestive enzymes from reaching the intestines. Administering these enzymes with meals promotes the digestion and absorption of fats, proteins, and carbohydrates.

C. Water-soluble minerals:Water-soluble minerals like magnesium or zinc may be needed in some cases, but they do not directly improve digestion or address malabsorption in cystic fibrosis. They are not the primary intervention.

D. Salt supplements:Salt supplements are often needed due to excessive sodium loss in sweat, especially in hot climates or during exercise. However, they help with electrolyte balance, not digestion or nutrient absorption.

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A nurse is teaching a newly hired LPN about trach care. The nurse should include that the inner cannula should be cleaned with a brush and then dried with a

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 20-year-old patient who recently had a tonsillectomy. The patient is fully awake and frequently clears his throat, but denies experiencing any pain. What is the most important action for the nurse to take first?

Correct Answer is A

Explanation

What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?

Correct Answer is B

Explanation

Which of the following would indicate the effectiveness of a bronchodilator?

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