Answer to Question 1
D
D. Without applying suction and using dominant thumb and forefinger, gently but quickly insert catheter into nares during inhalation and following natural course of the nares, slightly slant the catheter downward or through mouth. Do not force through nares.
A. Gently but quickly insert catheter into nares during inhalation.
B. Lightly coat distal 6 to 8 cm (2 to 3 inches) of catheter with water-soluble lubricant.
C. Without applying suction and using dominant thumb and forefinger, gently but quickly insert catheter into nares. Application of suction pressure while introducing catheter into trachea increases risk of damage to mucosa and increases risk of hypoxia.
Answer to Question 2
D
D. See Skill 24-2, Implementation: 6b(10). When suctioning is completed, disconnect catheter from connecting tubing. Roll catheter around fingers of dominant hand. Pull glove off inside out so that catheter remains coiled in glove. Pull off other glove over first glove in same way to seal in contaminants. Discard in appropriate receptacle. Turn off suction device.
A. See Skill 24-2, Implementation: 6b(10). Turn off suction device.
B. See Skill 24-2, Implementation: 6b(14). Remove face shield, and discard into appropriate receptacle. Perform hand hygiene.
C. See Skill 24-2, Implementation: 6b(11). Remove towel, place in laundry or appropriate receptacle, and reposition client. (Nurse may need to wear clean gloves for personal care.)
The nurse assists the patient in reflecting on his feelings
(A) Unwrap each of the layers until the client is covered by just the plastic sheet and the towels ...
A hot stone placed under the client’s neck.
Client files are kept in alphabetical order in locked file cabinets.
Testing the Achilles tendon reflex with client in a sitting position