Author Question: The nurse is working on a long-term rehabilitation unit, is providing care for a 46-year-old woman ... (Read 27 times)

jrubin · **on:** Jul 22, 2018

The nurse is working on a long-term rehabilitation unit, is providing care for a 46-year-old woman who was the victim of a violent crime and suffered a head injury. The patient has an endotracheal tube, which is secured with tape.

The tape is crusted with dried secretions. The nurse is providing personal hygiene for the patient and needs to replace the tape. What is the best way for the nurse to remove the tape? a. Soak it with warm moist washcloths.
b. Pull it gently away from the skin.
c. Saturate it with denatured alcohol.
d. Soak it with adhesive remover.

Question 2

A group of teenagers are attending a preparation class for babysitters. Which statements by the teenagers indicate a correct understanding of the teaching about safety issues? (Select all that apply.)

a. Home fires are a major cause of death and injury.
b. Bacterial food contamination cannot be controlled.
c. There should be working batteries in the smoke detector.
d. Temperature changes do not affect the child's safety.
e. Toddlers are very curious and like to put objects in their mouths.

Fayaz00962 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
When patients have nasogastric, feeding, or endotracheal tubes inserted through the nose, change the tape, anchoring the tube at least once a day. When the tape becomes moist from nasal secretions, the skin and mucosa can easily become macerated (softened by soaking). Friction from a tube causes tissue injury. Anchor tubing correctly with tape or fixative devices to minimize tension or friction on the nares. Pulling away gently is preferred after soaking with warm moist clothes. Alcohol and adhesive remover are not recommended.

Answer to Question 2

A, C, E
The best intervention is to prevent fires. Home fires are a major cause of death and injury. Another problem related to fatal fires is a failure to keep fresh batteries in home smoke detectors. The improper use of cooking equipment and appliances, particularly stoves, is another source for in-home fires. Smoke detectors and carbon monoxide detectors need to be placed strategically throughout a home. Multipurpose fire extinguishers need to be near the kitchen and any workshop areas. Children at these early stages are curious; they explore their environment, and because of an increase in oral activity, put objects in their mouths. If food is prepared and stored properly, food poisoning risk can be decreased. Temperature changes can lead to hypothermia and/or heatstroke or heat exhaustion.