When teaching home tracheotomy care to caregivers of a child with a tracheostomy tube, which of the following topics are essential to include in teaching? Select all that apply.

Maintaining a cool, dry environment to promote airway patency.

Having emergency tracheostomy equipment available at all times.

Changing the tracheostomy tube per ordered frequency.

Monitoring thickness and color of secretions.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale

While maintaining a cool, dry environment can be comfortable for the child, it is not specifically related to tracheostomy care. Humidity can actually be beneficial for a child with a tracheostomy, as it helps to keep the airway moist and prevent mucus from becoming too thick.

Choice B rationale

Having emergency tracheostomy equipment available at all times is crucial. This should include a spare tracheostomy tube of the same size and one size smaller, suction equipment, and a bag-valve-mask device. In case of a problem with the tracheostomy tube (such as blockage or accidental dislodgement), it is important to have the necessary equipment immediately available.

Choice C rationale

Changing the tracheostomy tube at the ordered frequency is important to prevent blockage and infection. The frequency will depend on various factors, including the type of tracheostomy tube and the child’s specific condition.

Choice D rationale

Monitoring the thickness and color of secretions can help to detect infections or other complications. Changes in secretions can be an early sign of problems such as tracheitis or pneumonia.

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Free Nursing Study Resources

Correct Answer is ["90"]

Explanation

When administering an intramuscular injection into the vastus lateralis muscle, the nurse should use a 90-degree angle. This ensures that the medication is delivered directly into the muscle tissue, allowing for optimal absorption.

A. Egocentrism. B. Magical thinking. C. Centration. D. Reversibility.

Correct Answer is B

Explanation

Choice A rationale

Egocentrism is a characteristic of cognitive development typically seen in the preoperational stage (2-7 years), where children believe everyone sees the world as they do. However, expressing sadness about being home alone does not specifically indicate egocentrism.

Choice B rationale

Magical thinking, also a characteristic of the preoperational stage, involves beliefs that thoughts can cause actions. Feeling sad about being home alone could be a manifestation of this, as the child might believe their sadness can change the situation.

Choice C rationale

Centration is the tendency to focus on one aspect of a situation and neglect others. The child’s statement does not provide evidence of centration.

Choice D rationale

Reversibility, the understanding that actions can be reversed, is a characteristic of the concrete operational stage (7-11 years)14. The child’s statement does not provide evidence of reversibility.

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When teaching home tracheotomy care to caregivers of a child with a tracheostomy tube, which of the following topics are essential to include in teaching? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer benzathine penicillin G IM to a school-aged child. Which anglewill the nurse use for injection into the child’s vastus lateralis muscle?

Correct Answer is ["90"]

Explanation

The nurse recognizes that a 4-year-old hospitalized child is exhibiting which characteristic of cognitive development, when the child tells the nurse it’s sad to be at home alone?

Correct Answer is B

Explanation

A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child’s breathing.Which of the following responses will the nurse include? Select all that apply.

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