ATI learning system Respiratory questions with correct answers

A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the client's airway secretion? A. The client is unable to speak B. The client's airway secretions were last suctioned 2 hr ago C. The client coughs and expectorates a large mucous plug D. The nurse auscultate coarse crackles in the lung fields - Answer D. The nurse auscultates coarse crackles in the lung fields should auscultate coarse crackles or rhonchi, identify a moist cough, hear or see secretions in the tracheostomy tube and then suction the client's airway secretions - who has tracheostomy with inflated cuff in place is unable to speak - should assess the need for suctioning every 2 hr and then suction as necessary - should assess the client's airway after coughing and only suction client's secretions if client is not able to cough and expectorate secretions A nurse in a clinic is providing teaching for a client who is to have a tuberculin skin test. Which of the following information should the nurse include? A. If the test is positive, it means you have an active case of TB B. If the test is positive, you should have another tuberculin test in 3 weeks C. You must return to the clinic to have the test read in 2 or 3 days D. A nurse will use a small lancet to scratch the skin of your forearm before applying the tuberculin substance - Answer C. You must return to the clinic to have the test read 2 or 3 days