Practice Question
A nurse is performing tracheostomy care for a client who has a chronic tracheostomy. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Allow space for one finger to be placed under the tube ties.
Rationale:
🟣 Ensures the tube is secure but not too tight, preventing pressure injury.
🟣 Maintains airway patency while avoiding strangulation or skin breakdown.
🟣 Promotes skin integrity and circulation around the neck.
🟣 Prevents accidental decannulation during patient movement.
🟣 Reflects standard best practice in tracheostomy tie placement.
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This question is from ATI LPN Adult Medical surgical with NGN-2020 which contains 75 questions.
More Questions from This Exam
A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When reinforcing teaching about the use of an automatic epinephrine injector, which of the following actions is the priority?
Answer Choices:
A. Instruct the client to store the injector at room temperature.
B. Inform the client to seek medical attention following administration of the injection.
C. Have the client perform a return demonstration of the equipment.
D. Review the signs of anaphylaxis with the client.
A nurse is assisting in the care of a client who has a pulmonary embolism and is experiencing dyspnea. Which of the following actions should the nurse take first?
Answer Choices:
A. Administer heparin to the client.
B. Encourage the client to cough and deep breathe.
C. Obtain the client's vital signs.
D. Place the client in high-Fowler's position.
A nurse is caring for a client who has pneumonia with dyspnea. The client's ABG results are pH 7.30, PaCO2 50 mm Hg, HCO3 26 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances?
Answer Choices:
A. Metabolic alkalosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
A nurse is reviewing laboratory values of a client who has severe dyspnea. Which of the following laboratory values indicates heart failure?
Answer Choices:
A. Potassium 4.0 mEq/L
B. Calcium 9.0 mg/dL
C. Sodium 140 mEq/L
D. Brain natriuretic peptide 275 pg/mL
A nurse is contributing to the plan of care for a client who has heart failure. Which of the following actions should the nurse include in the plan?
Answer Choices:
A. Encourage fluids.
B. Measure vital signs every 8 hr.
C. Obtain weight weekly.
D. Allow frequent rest periods.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4
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