Pertanyaan

SATA a nurse is planning discharge teaching on tracheostomy care for an older client. what factors does the nurse need to assess before teaching this particular client? a. cognition b. dexterity c. hydration d. range of motion e. vision f. upper arm range of motion

Solusi

Terverifikasi Ahli
4 (251 Suara)
Anuja veteran ยท Tutor selama 12 tahun

Jawaban

### A,B,C,D,E,F

Penjelasan

## Step1: Assess Cognition### The nurse needs to evaluate the client's cognitive ability to understand and process new information. This is crucial for effective learning and the ability to follow discharge instructions.## Step2: Assess Dexterity### Dexterity is important because the client will need to perform tracheostomy care, which involves precise hand movements. Evaluating the client's dexterity ensures they can safely and effectively perform the necessary tasks.## Step3: Assess Hydration### Proper hydration is essential for overall health and can impact the client's ability to perform tracheostomy care. Ensuring the client is well-hydrated can prevent complications and promote healing.## Step4: Assess Range of Motion### The client's range of motion, particularly in the neck and upper body, is important for accessing the tracheostomy site. Assessing this helps ensure the client can perform care without strain or discomfort.## Step5: Assess Vision### Clear vision is necessary for the client to see the tracheostomy site and perform care correctly. Assessing vision ensures the client can visually follow along with the teaching and instructions.## Step6: Assess Upper Arm Range of Motion### The upper arm's range of motion is relevant if the client needs to use their arms to assist in tracheostomy care, such as reaching around their neck or holding their breath during certain procedures.