Quiz 17 Trach Suctioning Flashcards
The maximum percent amount of oxygen delivery through a nasal cannula is?
44%
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?
It delivers the low concentration of oxygen you need
Which cleansing solution is appropriate to use when cleaning the inner cannula of the tracheotomy tube?
The cleaning solution to be used is hydrogen peroxide
The length of insertion for a nasal tracheal suctioning for an adult is usually?
20 to 24 cm
The primary purpose for the cuff and a tracheotomy tube is too?
Provide maximum sealing for airway
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?
Provide humidified air
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?
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
When opening the suction catheter the nurse should leave it in its wrapper and attach to the suction machine To?
Maintain sterility
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?
A tenant obturator and a spare take me out of the tube from the head of the bed and reinsert if possible.
The nurse is preparing to suction a client through a tracheotomy tube. Which nursing action is/are appropriate and safe for this procedure?
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.
What is the approximate length of insertion for an adult for nasal pharyngeal suctioning?
16 cm
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?
Venturi mask
A nurse is caring for a patient who weighs 176 pounds. How many kilograms dissipation weight?
80 kg
A nurse is performing a tracheotomy care for a client. Which of the following actions should the nurse take?
Secure new tracheotomy ties before removing old ones
Intermittent suctioning should not exceed ——— seconds?
15 seconds
Which of the following interventions is used to minimize the risk of infection for the client with a tracheotomy?
Provide frequent oral care, change all respiratory therapy equipment every eight hours, remove the water that Condensates in the equipment tubing
The nurse releases that suctioning the client may cause?
Hypoxia
The physician has ordered a device for a patient to begin speech therapy. This device is known as a?
Passy Muir
The client requires suctioning of pulmonary secretions. In appropriate nursing diagnosis for this client is
Ineffective airway clearance
A patient diagnosed with throat cancer is four days post operative and has a tracheotomy. Which tracheotomy tube is rude for cleaning?
Inner cannula
Which statement most accurately describes a difference between the use of a tracheotomy tube and a transtracheal catheter?
The trans tracheal catheter delivers oxygen throughout the respiratory cycle and allows the patient to talk
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?
Edema. Respiratory obstruction. And sanguineous exudate
What is the most common catheter size recommended for tracheal suctioning of an adult?
12 to 14 French
Which nursing action is most appropriate for a client with a two day old tracheotomy?
Perform trach suctioning every one hour
Which of the following precautions must be taken for a client who has a tracheotomy tube?
Keep hemostat at the bedside
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
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.
What is the proper care of the suction catheter following its use?
The catheter should be discarded after each use
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?
Give extra oxygen
Which of the following nursing interventions will help prevent hypoxia during suctioning?
Hyper oxygenate the patient as ordered by physician
