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MIDPOINT PRACTICE

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MIDPOINT PRACTICE A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions is appropriate for the client and family? a. Remove the outer cannula cautiously for routine cleaning. b. Use tracheostomy covers when outdoors. c. Use sterile technique when performing tracheostomy care at home. d. Cleanse irritated skin with full-strength hydrogen peroxide. - CORRECT ANSWER -b A nurse is giving an end-of-shift report about a client admitted earlier that day with pneumonia. Which of the following pieces of information is most essential to provide? A. Admitting diagnosis B. Diagnostic test results C. Body temperature D. Breath sounds - CORRECT ANSWER -D A nurse is checking blood pressures at a community health screening. Which of the following clients is at high risk for primary hypertension? A. A client who is pregnant B. A client who has an elevated LDL C. A client who takes oral contraceptives D.A client who has kidney disease - CORRECT ANSWER -B A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an AP? (Select all that apply.) A. Assist the client with a partial bed bath. B. Measure the client's BP after the nurse administers an antihypertensive medication. C. Test the client's swallowing ability by providing thickened liquids. D. Use a communication board to ask what the client wants for lunch.

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