Author Question: A nurse at a health care facility is caring for a client who requires prolonged oxygenation and ... (Read 115 times)

naturalchemist · **on:** Jul 22, 2018

A nurse at a health care facility is caring for a client who requires prolonged oxygenation and therefore has a tracheostomy tube to aid ventilation. When should the nurse perform tracheostomy care for this client?

A) At least every 4 hours
B) When oxygen saturation exceeds 90
C) At least every 8 hours
D) After feeding the client

Question 2

The nurse should instruct clients with diabetes about sick day management of their disease by emphasizing which action?

a. Report blood glucose lower than 100 mg/dL to the health care provider.
b. Continue taking the scheduled insulin or oral hypoglycemic agent.
c. Use sliding scale insulin to manage hypoglycemia.
d. Increase intake of carbohydrates for the duration of the illness.

durant1234 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Feedback:
The nurse should perform tracheostomy care at least every 8 hours, or as often as clients need to keep the secretions from becoming dried and then narrowing or occluding the airway. SaO2 of 90 is not an indication for tracheostomy care. The nurse need not wait until after suctioning or feeding the client to perform tracheostomy care.

Answer to Question 2

B
It is important that persons with diabetes have a plan for maintaining their diabetes in the event of illness. It is important that they continue taking the scheduled insulin or oral hypoglycemic agent when they are experiencing illness, because illness and fever can increase blood glucose and the need for insulin.