1. A nurse is preparing to suction a client's tracheostomy tube. Which of the following actions should the nurse plan to take?
a. hyperoxygenate the client manually for 30 to 60 seconds before suctioning
b. suction the client's airway for 20 seconds with each pass
c. decrease suction pressure to 150 mm hg if the oxygen saturation level drop during suctioning
d. apply intermittent suction during catheter insertion
2.a nurse administers an incorrect medication to a cleint and identifies the error. Which of the following actions should the nurse take first?
a. Report the error to the client's provider
b. Examine the client
c. Document the medication that was administered
d. Prepare an incident report
3.A nurse is planning discharge for a cleint who had a stroke and has difficulty holding utensils at mealtime. Which of the following referrals should the nurse anticipate?
a. Respiratory therapy
b. Dietary services
c. Occupational therapy
d. Pharmacy services
4.A nurse is obtaining a health history while admitting a client. The client tells the nurse. "I am under a lot of stress right now. "which of the following manifestations should the nurse except?
a. Constricted pupils
b. Increased salvation
c. Elevated heart rate
d. Decreased urine output
