A nurse is reaching a client and his family how to care for the client’s

tracheostomy athome. Which of the following should the nurse include in the

teaching?

• Use tracheostomy covers when outdoors

• A home health nurse is performing a follow-up visit for a client who has a gastrostomy

tubethrough which they receive intermittent feedings and medications. The client

has recently developed diarrhea. Which of the following findings should the nurse

identify as a possiblecause of the diarrhea?

• The client’s care giver washed out the feeding

bag once every 24 hours with warmwater

• A nurse is talking with an older adult client who is contemplating retirement. The

client states, “I keep thinking about how much I enjoy my job. I’m notsure I want to

retire.” Whichof the following responses should the nurse make?

• Let’s talk about how the change in your hob

status will affect you.

• A nurse is assessing a client who reports increased pain following pt. Which of the

following questions should t15he nurse ask hen assessing the quality of the client’s

pain?

• Sharp & dull

• 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 this is an expected

response to grief.

• A nurse on a medical-surgical unit is caring for a client who has a new

prescription forwrist restraints. Which of the following actions should the nurse

take?

• Pad the client’s wrist before applying the

restraints

• 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.