When caring for a client with a tracheostomy, the nurse should be aware of which of the following?
1. Suctioning a client's tracheostomy that is less than 48 hours old requires only clean technique.
2. The wound around the tracheostomy tube should be cleaned every 48 hours.
3. Care of a client's new tracheostomy is not generally delegated to a nursing assistant.
4. The gauze dressing should be cut to fit snugly around the tracheostomy tube during the dressing change.
Question 2
Your client needs to stretch all alveoli and increase the production of surfactant. The mechanism that causes this is called:
1. cough.
2. sneeze.
3. sigh.
4. recoil.
Enhanced Caring
Nurse collaboration
Client and therapist positioning for foot reflexology.
Inspection of client
Testing client’s ability to identify dull sensation
Testing patellar reflex, client in a sitting position