Fundamentals 2020 RN Virtual ATI - Safety and Infection Control Quiz with correct answers

A client has a new tracheostomy. Which of the following interventions should the nurse include when performing tracheostomy care? a. Clean disposable inner cannula with hydrogen peroxide. b. Change tracheostomy ties when soiled. c. Remove soiled dressing with sterile gloves. d. Suction the tracheostomy before beginning care. correct answer b. Change tracheostomy ties when soiled. CORRECT. 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? a. Obtain the client's vital signs b. Assess the client's level of consciousness c. Assist the client back to bed d. Notify the healthcare provider correct answer b. Assess the client's level of consciousness CORRECT. 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 lacerations, contusions, or hematomas that may need to be treated. After a report to the provider, additional x-rays or exams may be ordered.