The nurse is preparing to perform the care of a patient's ...

[bucstennis@aim.com]

The nurse is preparing to perform the care of a patient's tracheostomy tube. Which of the following actions should the nurse perform during this procedure?
 
  A) Clean the stoma and the skin surrounding the stoma with chlorhexidine.
  B) Perform deep suctioning before and after the trach care.
  C) Remove the soiled twill tape after new tape has been put in place.
  D) Wash the inner cannula with soap and warm tap water if it is not disposable.

Question 2

An older patient with a history of arthritis has fallen after an episode of dizziness. Laboratory data reveal anemia and stool positive for occult blood. Which assessment question is the most appropriate for the patient's health situation?
 
  A) Do you take any medication for high blood pressure?
  B) What herbal remedies or supplements do you use regularly?
  C) Do you take aspirin for the treatment of pain or inflammation?
  D) Does your family doctor ask you to get regularly scheduled blood work?

[jordangronback]

Answer to Question 1

C

Answer to Question 2

C
Feedback:
Anemia and stool positive for occult blood could indicate the presence of gastrointestinal (GI) bleeding. Since aspirin is commonly implicated in episodes of GI bleeding this question would be the best to ask the patient at this time. The other questions may or may not relate to the patient's condition and are less likely to be related to anemia and blood in the stool.