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Nancy Gilbert is a 65-year-old Caucasian female with a 5-year history of laryngeal cancer requiring a permanent tracheostomy and continuous supplemental oxygen. She has an 80-pack-year history of cigarette smoking (2 packs per day for 40 years) and lives with her husband who continues to smoke in their home. On Tuesday afternoon she was admitted to the medical unit with pneumonia and placed in isolation for Methicillin-Resistant Staphylococcus Aureus (MRSA).
1. How can a patient and nurse effectively interact and communicate when that patient has a tracheostomy?
2. What are three nursing interventions when treating someone with MRSA?
3. What are the nutritional challenges for patients with a tracheostomy?

 
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