ATI RN Fundamentals 2019 II | Nurselytic

Questions 55

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ATI RN Fundamentals 2019 II Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Cleanse the skin around the stoma with normal saline. This is essential for maintaining hygiene and preventing infection at the tracheostomy site. Cleaning the skin with normal saline helps to remove debris and prevent irritation or infection. Using a cotton tip applicator to clean inside the inner cannula (
A) is not recommended as it can cause injury to the delicate tissues. Soaking the outer cannula in warm soapy tap water (
C) is not necessary for routine care and may increase the risk of contamination. Securing the tracheostomy ties to allow one finger to fit snugly underneath (
D) is important for proper fit but is not directly related to immediate care of the stoma site.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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