VATI - Fundamentals - Safety & Infection control Questions with correct answers

A client has a new tracheostomy. Which of the following interventions should the nurse include when performing tracheostomy care? Select one: a. Change tracheostomy ties when soiled. b. Clean disposable inner cannula with hydrogen peroxide. c. Suction the tracheostomy before beginning care. d. Remove soiled dressing with sterile gloves. correct answer a. Change tracheostomy ties when soiled. Raitonale: Tracheostomy ties should be changed once a day or when soiled. Secure new ties in place before removing old soiled ones to prevent accidental decannulation. One or two fingers should be able to be placed between the tie tape and the neck. A client has fallen in the bathroom. Which of the following is the priority nursing action? Select one: a. Assist the client back to bed b. Assess the client's level of consciousness c. Notify the healthcare provider d. Obtain the client's vital signs correct answer b. Assess the client's level of consciousness Rationale: Safety first. Before proceeding with the assessment or taking vital signs assess the level of consciousness. Complaints of pain, any joint or bone deformity may provide evidence of fractures or dislocations. Inspection of the skin will determine lacerat