Which of the following nursing actions should the nurse take to promote the client's comfort?ġ) Rub the client's feet briskly for several minutes. However, it has no effect on the tenacity of the client's secretions.ģ.ğollowing admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Hyperventilating the client prior to suctioning prevents hypoxia. However, it has no effect on the tenacity of the client's secretions.Ĥ) Hyperventilate the client with 100% oxygen before suctioning the airway. Prelubricating the suction catheter tip with sterile saline helps to ease the insertion of the catheter, producing less trauma. Performing chest physiotherapy mobilizes secretions but does not thin them.ģ) Prelubricate the suction catheter tip with sterile saline when suctioning the airway. Increasing fluid intake as tolerated and providing adequate humidification can help thin secretions safely.Ģ) Perform chest physiotherapy prior to suctioning. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?

The nurse should instruct the client to wash dishes in hot soapy water to destroy the bacteria.Ģ.Ě nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Litter boxes carry toxoplasmosis which can be life threatening to a client who has HIV. The client should avoid changing litter boxes. The nurse should instruct the client to use an antimicrobial cleanser to wash his armpits and genitals twice daily.ģ) Change the litter boxes while wearing gloves. The nurse should reinforce to the client to take his temperature once a daily to identify if a temperature is present due to the client’s altered immune system.Ģ) Wash the armpits and genitals with a gentle cleanser daily. Which of the following instructions should the nurse include in the teaching? NURSING LP N 100 Comprehensive Questions and Answers.ġ.Ě nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Graded A+ ATI Med-Surg Test Banks Document Content and Description Below NURSING LP N 100 Comprehensive Questions and Answers.

Dead space 2 4 conduit rooms