Suction the trachea and mouth.Have the obdurator available.Encourage deep breathing and coughing.Do a pulse oximetry reading. Explanation. Secretions may have pooled above the tracheostomy cuff. If these are not suctioned before deflation, the secretions may be aspirated.
NCLEX Nursing MCQs
The nurse is preparing to walk the postpartum client for the first time since delivery. Before walking the client the nurse should:
Give the client pain medication. Assist the client in dangling her legs.Have the client breathe deeply.Provide the client additional fluids. Explanation. Before walking the client for the first time after delivery the nurse should ask the client to sit on the side of the bed and dangle her legs to prevent postural hypotension. Pain medication […]
Situation : You are assigned to take care of a group of patients across the lifespan. The elderly patient is at higher risk for urinary incontinence because:
Increased glomerular filtrationDiuretic use Decreased bladder capacityDecreased glomerular filtration Explanation. Decreased bladder capacity