ATI RN Fundamentals 2023 I | Nurselytic

Questions 60

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ATI RN Fundamentals 2023 I Questions

Extract:


Question 1 of 5

A nurse is planning to change a client’s tracheostomy ties. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The correct answer is D: Cut the old ties after the new ties are secured. This is the correct action as it ensures the client's airway remains stable during the tie change process. By securing the new ties first before cutting the old ones, the nurse prevents accidental decannulation, maintaining the client's airway patency.


Choice A is incorrect because extending the client's neck may cause discomfort and is unnecessary for securing the ties.
Choice B is incorrect as quick-release knots are not recommended for tracheostomy ties due to the risk of accidental untying.
Choice C is incorrect as allowing space for three fingers under the ties does not ensure proper securement.

In summary, cutting the old ties after securing the new ties is crucial for maintaining the client's airway safety during a tracheostomy tie change.

Question 2 of 5

Correct Answer:

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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