Which action would the nurse take while providing home care to a patient with a stoma after a tracheostomy? Select all that apply. One, some, or all responses may be correct.

Clean the stoma two times a week.

Use a bedside humidifier.

Offer plenty of fluids to the patient.

Keep the stoma uncovered when the patient showers.

Answer and Explanation

Correct Answer : B

Choice A reason: Cleaning the stoma two times a week is not sufficient. Stoma care typically requires daily cleaning to prevent infection and ensure the area remains free from mucus buildup and irritation.

Choice B reason: Using a bedside humidifier is important for patients with a tracheostomy. The humidified air helps to keep the stoma and airway moist, preventing drying and crusting of secretions, which can obstruct the airway.

Choice C reason: Offering plenty of fluids to the patient helps to keep the mucus thin and easier to clear, which is crucial for maintaining a clear airway in patients with a tracheostomy.

Choice D reason: Keeping the stoma uncovered when the patient showers is incorrect. The stoma should be covered with a waterproof shield or dressing to prevent water from entering the airway, which can cause respiratory distress or infection.

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Correct Answer is A

Explanation

Choice A reason: Synthroid (levothyroxine) is the most commonly prescribed medication for hypothyroidism. It is a synthetic form of thyroxine (T4), which replaces the deficient hormone in patients with hypothyroidism and helps normalize their thyroid function.

Choice B reason: PTU (Propylthiouracil) is typically used for the treatment of hyperthyroidism, not hypothyroidism. It works by inhibiting the synthesis of thyroid hormones.

Choice C reason: Tapazole (methimazole) is also used for the treatment of hyperthyroidism, similar to PTU. It is not used to treat hypothyroidism.

Choice D reason: Propranolol is a beta-blocker that is used to manage symptoms of hyperthyroidism, such as tremors and palpitations. It does not treat hypothyroidism.

A. 128/76 mm Hg B. 148/78 mm Hg C. 98/56 mm Hg D. 128/92 mm Hg

Correct Answer is A

Explanation

Choice A reason: A blood pressure of 128/76 mm Hg is within the target range for a patient with hypertension, indicating that the current therapy is effectively managing the condition. This reading is below the generally accepted threshold for hypertension, which is 140/90 mm Hg.

Choice B reason: A blood pressure of 148/78 mm Hg is above the target range for hypertension management. This reading suggests that the patient may need an adjustment in their therapy to better control their blood pressure and reduce the risk of cardiovascular complications.

Choice C reason: A blood pressure of 98/56 mm Hg is too low and may indicate hypotension, which can be a concern, especially if the patient experiences symptoms like dizziness or fainting. This reading suggests that the patient's therapy may need to be adjusted to avoid excessively lowering blood pressure.

Choice D reason: A blood pressure of 128/92 mm Hg shows an elevated diastolic pressure, which is above the target range. This indicates that the patient's hypertension is not fully controlled, and adjustments in therapy may be needed to bring both systolic and diastolic pressures within the desired range.

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Which action would the nurse take while providing home care to a patient with a stoma after a tracheostomy? Select all that apply. One, some, or all responses may be correct.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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