While suctioning a client’s laryngectomy tube, the nurse should insert the catheter
A. about 1 to 2 inches.
B. as the client exhales.
C. until resistance is met, then withdraw it 1 to 2 cm.
D. until the client begins coughin
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The nurse observes that a depressed client has bathed, is wearing a clean blouse and slacks, and has combed her hair. Which statement by the nurse would be most helpful for the client
A. "I like your blouse and slacks. "
B. "You look good today. "
C. "I’m glad you’re feeling better today. "
D. "I’m glad you combed your hair today. "
During the first 48 to 72 hours of fluid resuscitation therapy after a major burn injury, the intravenous infusion rate will be adjusted by evaluating which of the following observation
A. Daily body weight.
B. Hourly urine output.
C. Hourly urine specific gravity.
D. Hourly body temperatur
Which of the following interventions would be most helpful in preventing pressure ulcer formation in at-risk client
A. Massaging reddened areas on the sacrum.
B. Ensuring a generous fluid intake.
C. Repositioning every hour.
D. Providing a low protein diet.
When preparing to give a neonate the first feeding by nipple, the nurse uses a 5 mL feeding of sterile water first. Which of the following is the reason for doing so
A. Ensure that the neonate has the energy to take oral feedings.
B. Ensure that the mother will be able to feed the neonate.
C. Ascertain the patency of the neonate’s esophagus.
Determine if the neonate can retain the feedin