Which statement is most important for the nurse to make when caring for an anxious patient with a new tracheostomy?

"I have cared for patients who were able to have the tracheostomy reversed."

“I understand that you might be apprehensive."

“I will be efficient and give care quickly."

"I will wait until your tracheostomy heals before teaching."

Answer and Explanation

The Correct Answer is B

A. "I have cared for patients who were able to have the tracheostomy reversed. While this may offer hope, it shifts the focus to long-term outcomes rather than addressing the patient's current emotional state. Not all tracheostomies are reversible, and offering this reassurance prematurely may set unrealistic expectations.

B. “I understand that you might be apprehensive." This statement acknowledges the patient's anxiety and fosters trust. Demonstrating empathy helps reduce emotional distress, encourages open communication, and supports emotional adaptation to the tracheostomy.

C. “I will be efficient and give care quickly." Although efficiency is important, this response may come off as dismissive of the patient's emotional needs. It prioritizes task completion over patient-centered care and fails to address the underlying anxiety.

D. "I will wait until your tracheostomy heals before teaching." Teaching should begin early, even in small steps, to help the patient gradually understand and adapt to tracheostomy care. Delaying education may increase fear, uncertainty, and dependence on others for care.

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Correct Answer is A

Explanation

A. Use an N95 respirator when entering the room:An N95 respirator provides a tight seal and filters airborne particles, which is essential for preventing transmission of Mycobacterium tuberculosis. Because TB spreads through airborne droplets, wearing an N95 mask is the most important protection for healthcare workers.

B. Place the patient in a room with positive room airflow:Positive pressure airflow pushes air out of the room, which risks contaminating surrounding areas. TB patients must be placed in negative pressure rooms to contain and filter airborne pathogens safely within the room.

C. Open the windows in the room for extra ventilation:While increasing ventilation may reduce airborne concentration of pathogens in certain settings, it is not a recommended infection control method in clinical environments.

D. Use a surgical mask when entering the room:Surgical masks do not effectively filter small airborne particles like TB bacilli. They are intended for droplet precautions, not airborne precautions, and therefore offer inadequate protection for staff entering a TB patient's room.

A. drink juices high in vitamin C B. cough into your elbow C. wash hands frequently D. cover the mouth and nose with when sneezing E. use a saline nose spray frequently

Correct Answer is ["B","C","D"]

Explanation

A. Drink juices high in vitamin C: While vitamin C may help support immune function, it does not prevent the transmission of colds to others. This measure is more about personal health and has no direct effect on reducing contagion.

B. Cough into your elbow: Coughing into the elbow instead of the hands prevents the spread of respiratory droplets through touch, reducing the likelihood of contaminating surfaces and infecting others.

C. Wash hands frequently: Hand hygiene is one of the most effective ways to prevent the spread of respiratory viruses. Frequent handwashing helps remove viruses acquired from contaminated surfaces or respiratory secretions.

D. Cover the mouth and nose when sneezing: Covering the mouth and nose with a tissue or elbow during sneezing limits the dispersion of infectious droplets into the air, reducing transmission to others.

E. Use a saline nose spray frequently: Saline sprays may keep nasal passages moist and comfortable, but they do not reduce the risk of spreading infection to others. Their use is symptomatic, not preventive from a contagion standpoint.

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Which statement is most important for the nurse to make when caring for an anxious patient with a new tracheostomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has active tuberculosis. Which of the following is most important for the nurse to implement?

Correct Answer is A

Explanation

The nurse advises that, to reduce the risk of giving a cold to another, one should: (Select 3 correct answers)

Correct Answer is ["B","C","D"]

Explanation

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