A nurse isreaching a client and hisfamily how to care for the client’s tracheostomy at

home.Which of the following should the nurse include in the teaching?

 Use tracheostomy coverswhen outdoors

1. A home health nurse is performing a follow-up

visit for a client who has a gastrostomy tube

through which they receive intermittent feedings

and medications. The client has recently

developed diarrhea. Which of the following

findings should the nurse identify as a possible

causeof the diarrhea?

 The client’s care giver washed out the feeding bag once every

24hours with warmwater

2. A nurse is talking with an older adult client who is

contemplating retirement. The clientstates,“Ikeep

thinking about how much I enjoy my job. I’m not

sure I want to retire.” Which of the following

responses should the nurse make?

 Let’stalk about howthe change in your hob statuswill affect you.

3. A nurse is assessing a client who reports

increased pain following pt. Which of the

followingquestionsshould t15he nurse ask hen

assessing the quality of the client’s pain?

 Sharp & dull

4. A nurse is caring for a client who is

expressing anger about his diagnosis of

colorectalcancer.Which of the following

actions should the nurse take?

 Reassure the client that thisis an expected response to grief.

5. A nurse on a medical-surgical unit is caring

for a client who has a new prescription for

wristrestraints. Which of the following

actions should the nurse take?

 Pad the client’s wrist before applying the restraints

6. A nurse is performing a home safety assessment

for a client who is receiving supplementaloxygen.

Which of the following observations should the

nurse identify as proper safety protocol?

 The client uses no acetone nail polish remover.

7. Nurse caring for a client who has a respiratory

infection. What technique should she use

whenpreforming nasotracheal suctioning?

 Apply intermittentsuctionwhenwithdrawing the catheter.

8. Nurse is preparing for change ofshift.