Which statement is most important for the nurse to make when ...

[s.tung]

Which statement is most important for the nurse to make when caring for an anxious patient with a new tracheostomy?
 
  a. I have cared for patients who were able to have the tracheostomy reversed.
  b. I will be efficient and give care quickly.
  c. I will wait until your tracheostomy heals before teaching.
  d. I understand that you might be apprehen-sive.

Question 2

The nurse is caring for a patient who has a tracheostomy with a one-way valve box. The nurse explains to the CNA that this valve allows the patient to carry out which function?
 
  a. Drinking
  b. Eating
  c. Coughing
  d. Talking

[janieazgirl]

Answer to Question 1

D
Offering reassurance to a patient who cannot speak is essential. Care should be unhurried with teaching and conversation. Offering false reassurance or mentioning what other patients have done is inappropriate. Giving care quickly or with minimal conversation may cause further an-xiety. Teaching cannot be delayed until the tracheostomy is healed.

Answer to Question 2

D
A one-way tracheostomy valve box can be fitted into the tube opening. It allows air to be inhaled through the tracheostomy opening, but the valve closes when the patient exhales. This diverts the exhaled air through the larynx and enables the patient to speak.

[s.tung]

Thanks for the timely response, appreciate it

[jordangronback]

Gracias!