A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of the following actions by the newly licensed nurse requires intervention by the staff nurse?

Waits for 2 min between suctions

Applies suction for 15 seconds

Encourages the client to cough during suctioning

Inserts the catheter without applying suction

None

Answer and Explanation

The Correct Answer is C

A.   Waiting for 2 minutes between suctions is a standard practice to prevent damage to the trachea and to allow the client to recover from the suctioning process. This action is also appropriate and does not require intervention.
B.   Suction is typically applied for 10-15 seconds while withdrawing the catheter to prevent hypoxia and trauma to the airway.
C.   Encouraging a client to cough during suctioning is generally acceptable because coughing helps expel secretions from the airway.However, the nurse should ensure that the client does not cough too forcefully, as this could lead to trauma or discomfort.
D.   The catheter should be attached to suction while being inserted and withdrawn to effectively clear secretions from the airway.

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Correct Answer is D

Explanation

Digoxin is a medicine used to treat various heart conditions, including heart failure and irregular heartbeat1. It is important to follow the doctor’s instructions carefully when giving digoxin to your child, as the dosage and timing may vary depending on your child’s age, weight, and medical condition.

Out of the four statements you provided, only one is correct. The correct statement is:

d. “Have your child drink a small glass of water after swallowing the medication.”

This statement is correct because drinking water after taking digoxin can help prevent stomach upset and ensure proper absorption of the medicine.

The other three statements are incorrect and should not be followed. Here are the reasons why:

a. “You can add the medication to a half-cup of your child’s favorite juice.”

This statement is incorrect because adding digoxin to juice or other liquids can alter the concentration and effectiveness of the medicine4. You should give digoxin to your child by mouth with or without food, using a marked measuring spoon or medicine cup. If you are using the liquid form of digoxin, you can give a small squirt of the medicine inside the cheek and let your child swallow it before giving more.

b. “Repeat the dose if your child vomits within 1 hour after taking the medication.”

This statement is incorrect because repeating the dose of digoxin can increase the risk of overdose and side effects4. Digoxin has a narrow therapeutic range, which means that too much or too little of the medicine can be harmful. If your child vomits within 1 hour after taking digoxin, do not give another dose and continue with the normal dose amount at the next scheduled time4. If your child vomits frequently or has signs of overdose, such as nausea, drowsiness, confusion, vision changes, or irregular heartbeat, call your doctor or poison control center immediately.

c. “Limit your child’s potassium intake while she is taking this medication.”

This statement is incorrect because limiting your child’s potassium intake can actually worsen the effects of digoxin6. Digoxin works by affecting the levels of sodium and potassium in the heart cells, which helps regulate the heart rhythm and contractility. However, low potassium levels can make digoxin more toxic and increase the risk of arrhythmias6. Therefore, you should not restrict your child’s potassium intake unless instructed by your doctor6. You should also avoid giving your child foods or supplements that are high in fiber, as they can interfere with the absorption of digoxin. Some examples of high-fiber foods are bran, psyllium, and some fruits and vegetables

A. Take a bubble bath after intercourse. B. Drink four 240 mL (8 oz) glasses of water each day. C. Wear loose-fitting underwear. D. Void every 5 to 6 hr during the day.

Correct Answer is C

Explanation

A. Bubble baths can increase the risk of urinary tract infections (UTIs) and should be avoided, especially after intercourse.
B. Drinking plenty of water is beneficial for urinary tract health, but a specific amount (four glasses) may not be necessary for all individuals.
C. Correct. Wearing loose-fitting underwear allows better airflow and decreases moisture, reducing the risk of UTIs.
D. Voiding every 5 to 6 hours is a general guideline for healthy bladder habits, but it may not directly prevent recurrent UTIs.

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A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of the following actions by the newly licensed nurse requires intervention by the staff nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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