Tracheostomy Care Flashcards
a surgical procedure that consists of making an incision on the anterior aspect of the neck and opening a direct airway through an incision in the trachea
Tracheostomy
True or False: To make an artificial airway, an opening into the trachea (stoma) through the neck just below the larynx through which an indwelling tube is placed.
True
Below are indications for tracheostomy, except?
A. Anaphylaxis
B. Burns of the airway or face or neck
C. Fracture
D.Obstruction of the airway
C
This is an example of an immediate complication of tracheostomy in which air is trapped under the skin or subcutaneous tissue of the neck
Subcutaneous Emphysema
The most expected immediate complication when doing a tracheostomy
Bleeding
True or False: Nurses can do tracheostomy
False. Nurses only do tracheostomy care
The patient with a tracheostomy is having difficulty swallowing (dysphagia). What does this mean?
A. The patient’s neck nerves may be damaged
B. The patient is only being dramatic
C. The patient’s thyroid gland is damaged
A.
What is the best nursing action for subcutaneous emphysema?
A. Massage the air out towards the stoma
B. Massage the air downwards to remove emphysema
C. Massage the air away from the stoma
A
An immediate complication of tracheostomy care is where buildup of air between the chest wall and lungs which causes pain, breathing problems, or collapsed lungs
A. Pneumothorax
B. Hemothorax
C. Hypoxia
D. Apnea
A
True or False: collection of blood (hematoma), which may form in the neck and compress the trachea, causing breathing problems is an immediate complication of tracheostomy
True
True or False: Infection around the tracheostomy causes tracheoesophageal fistula and tracheoinnominate fistula
False: Tracheostomy may cause long term complications around the tracheostomy or infection in the trachea and bronchial tubes (tracheobronchitis) and lungs (pneumonia)
Development of an abnormal passage between the trachea and the esophagus, which can increase the risk of fluids or food entering the lungs
A. tracheoesophageal fistula
B. tracheoinnominate fistula
A. (tracheoesophageal fistula)
Development of a passage between the trachea and the large artery that supplies blood to the right arm and right side of the head and neck, which can result in life-threatening bleeding
A. tracheoinnominate fistula
B. tracheoesophageal fistula
A. tracheoinnominate fistula
Identify what type of complication is given - Displacement of tracheostomy tube from trachea
A. Long term
B. Immediate
Long term
Identify what type of complication is given - Damage, scarring, or narrowing of the trachea
A. Long term
B. Immediate
A.
Identify what type of complication is given - Obstruction of the tracheostomy tube
A. Long term
B. Immediate
A
Identify what type of complication is given - Misplacement or displacement of the tracheostomy tube
A. Long term
B. Immediate
B
Identify what type of complication is given - Damage to the trachea, thyroid gland, or nerves in the neck
A. Long term
B. Immediate
B
The following are the purposes of tracheostomy, except:
A. To maintain airway patency by removing mucus and encrusted secretions.
B. To maintain cleanliness and prevent infection at the tracheostomy site
C. To promote comfort
D. To prevent displacement
E. To facilitate healing and prevent skin excoriation around the tracheostomy incision
F. None of the above
G. All of the above
G.
State all abnormal breathing sounds for assessment
- Ronchi
- Wheezing
- Stridor
- Rales/Crackles
What words should nurses use to characterize the amount of secretions when charting?
Copious -many or Scanty - small
What should the nurse assess when checking the appearance of the incision of the tracheostomy?
redness, swelling, purulent discharge, or odor
State all normal breathing sounds for assessment
- Tracheal
- Bronchial
- Vesicular
- Bronchovesicular
Ratio when checking the breathing of the patient
1 inhale and 1 exhale
Common size used of tracheostomy tube
6.5
True or False: The nurse soaks the inner cannula in the kidney basin with PNSS before placing it in peroxide and a basin with the combination of both solutions
False
True or False: Remove the old tracheostomy tie before placing the new tie
False
