Quiz 17 Trach Suctioning

Question 1

The maximum percent amount of oxygen delivery through a nasal cannula is?

Answer 1

44%

Question 2

A client is receiving oxygen therapy via nasal cannula. When the client asked the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?

Answer 2

It delivers the low concentration of oxygen you need

Question 3

Which cleansing solution is appropriate to use when cleaning the inner cannula of the tracheotomy tube?

Answer 3

The cleaning solution to be used is hydrogen peroxide

Question 4

The length of insertion for a nasal tracheal suctioning for an adult is usually?

Answer 4

20 to 24 cm

Question 5

The primary purpose for the cuff and a tracheotomy tube is too?

Answer 5

Provide maximum sealing for airway

Question 6

The nurse is assisting with the care of a client who is 2 days postoperative following the creation of a tracheostomy. Which of the following actions for minimizing infection to the nurse plan to take?

Answer 6

Provide humidified air

Question 7

The nurse observes a student nurse who is suctioning a patient with a tracheostomy. Which action by the student nurse requires a nurse to intervene?

Answer 7

The student places is thumb over the suction control when advancing the catheter into the patient airway. The student suctions The patient for 30 seconds during each suctioning attempt. The student uses tapwater to clean to be in between suction attempts

Question 8

When opening the suction catheter the nurse should leave it in its wrapper and attach to the suction machine To?

Answer 8

Maintain sterility

Question 9

A nurse is caring for a client following a tracheotomy two days ago. The nurse enters the room and notices that the tracheotomy tube is no longer in place. What is the nurses first action?

Answer 9

A tenant obturator and a spare take me out of the tube from the head of the bed and reinsert if possible.

Question 10

The nurse is preparing to suction a client through a tracheotomy tube. Which nursing action is/are appropriate and safe for this procedure?

Answer 10

Pre-oxygenate the patient before suctioning, introducing the catheter into the tracheotomy tube using a sterile glove, moisturizing the catheter Tip in saline solution before suctioning, assessing the lungs prior to the procedure.

Question 11

What is the approximate length of insertion for an adult for nasal pharyngeal suctioning?

Answer 11

16 cm

Question 12

Of a patient’s condition requires a very precise delivery of oxygen concentration the nurse anticipates that the healthcare provider will order oxygen to be delivered via which device?

Answer 12

Venturi mask

Question 13

A nurse is caring for a patient who weighs 176 pounds. How many kilograms dissipation weight?

Answer 13

80 kg

Question 14

A nurse is performing a tracheotomy care for a client. Which of the following actions should the nurse take?

Answer 14

Secure new tracheotomy ties before removing old ones

Question 15

Intermittent suctioning should not exceed ——— seconds?

Answer 15

15 seconds

Question 16

Which of the following interventions is used to minimize the risk of infection for the client with a tracheotomy?

Answer 16

Provide frequent oral care, change all respiratory therapy equipment every eight hours, remove the water that Condensates in the equipment tubing

Question 17

The nurse releases that suctioning the client may cause?

Answer 17

Hypoxia

Question 18

The physician has ordered a device for a patient to begin speech therapy. This device is known as a?

Answer 18

Passy Muir

Question 19

The client requires suctioning of pulmonary secretions. In appropriate nursing diagnosis for this client is

Answer 19

Ineffective airway clearance

Question 20

A patient diagnosed with throat cancer is four days post operative and has a tracheotomy. Which tracheotomy tube is rude for cleaning?

Answer 20

Inner cannula

Question 21

Which statement most accurately describes a difference between the use of a tracheotomy tube and a transtracheal catheter?

Answer 21

The trans tracheal catheter delivers oxygen throughout the respiratory cycle and allows the patient to talk

Question 22

A nurse is assigned to care for a client with a tracheotomy tube. What should the nurse observe for during checking the stoma to help identify potential needs for further nursing interventions?

Answer 22

Edema. Respiratory obstruction. And sanguineous exudate

Question 23

What is the most common catheter size recommended for tracheal suctioning of an adult?

Answer 23

12 to 14 French

Question 24

Which nursing action is most appropriate for a client with a two day old tracheotomy?

Answer 24

Perform trach suctioning every one hour

Question 25

Which of the following precautions must be taken for a client who has a tracheotomy tube?

Answer 25

Keep hemostat at the bedside

Question 26

A nurse is preparing to suction the airway of a client who has a tracheotomy identify the sequence of actions the nurse should take after performing hand hygiene

Answer 26

First Don sterile gloves, Check function of the suction catheter, set suction between 120 to 150 MMHG, hyper oxygenate the client, insert the catheter without suction, intermittent suction while rotating the catheter.

Question 27

What is the proper care of the suction catheter following its use?

Answer 27

The catheter should be discarded after each use

Question 28

The nurse is caring for a client with a tracheotomy tube and is preparing to suction. Which of the following nursing action should the nurse implement before suctioning?

Answer 28

Give extra oxygen

Question 29

Which of the following nursing interventions will help prevent hypoxia during suctioning?

Answer 29

Hyper oxygenate the patient as ordered by physician