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The nurse is caring for a patient who is sedated and is on a ventilator.When assessing the patient,the nurse notes that there is a sound that may indicate that air is escaping around the tube.What should the nurse do?


A) Prepare for reintubation
B) Repeat taping or securing procedure
C) Suction the patient
D) Verify correct position of the tube and assess cuff pressure

Correct Answer

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An appropriate step for the nurse to take when providing tracheostomy care when the tracheostomy tube has an inner cannula is:


A) Suctioning the patient after the procedure
B) Removing the old ties before applying the new ones
C) Rinsing the inner cannula with saline
D) Cleaning the inside of the outer cannula toward the stoma site

Correct Answer

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Risks associated with airway suctioning include which of the following? (Select all that apply.)


A) Cardiac dysrhythmias
B) Laryngeal spasm
C) Bradycardia
D) Nasal trauma
E) None of above

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When suctioning a ventilated patient with a closed (in-line) system for suctioning of an ET or tracheostomy tube,the nurse knows that:


A) No complications are associated with its use
B) This system has a greater risk for infection than do open systems
C) The artificial airway does not have to be disconnected
D) Suctioning with an in-line system interrupts oxygenation

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An underinflated ET cuff is suspected with the presence of:


A) Tracheomalacia
B) Decreased phonation
C) Tracheoesophageal fistula
D) Aspiration of gastric contents

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Noninvasive techniques that are helpful in maintaining a patent airway include which of the following? (Select all that apply.)


A) Hydration
B) Emergency tracheostomy
C) Deep breathing
D) Coughing

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Airway management involves maintaining the patency of which of the following? (Select all that apply.)


A) Nose
B) Upper airway
C) Trachea
D) Lower airway
E) None of above

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A plastic or rubber tube that is inserted through the nares or mouth past the epiglottis and vocal cords to maintain an airway is known as an _________________.

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endotracheal (ET)tube
An ET tube is inse...

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In the acute care environment,what is the wall suction pressure setting for infants?


A) 10 to 30 mm Hg
B) 40 to 60 mm Hg
C) 80 to 100 mm Hg
D) 100 to 150 mm Hg

Correct Answer

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A patient develops respiratory distress during suctioning of the endotracheal tube.What should the nurse do?


A) Remove and reinsert the catheter
B) Continue to remove thick secretions
C) Administer oxygen directly through the catheter
D) Encourage the patient to cough and deep-breathe

Correct Answer

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The nurse is providing nasotracheal suction for a patient.Which of the following is proper technique?


A) Insert the catheter during exhalation
B) Insert the catheter while the patient is swallowing
C) Apply suction only when pulling the catheter out
D) Remove the catheter immediately and quickly if patient coughs

Correct Answer

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What should the nurse do to improve the effectiveness of tracheal suctioning?


A) Suction for 20-second intervals
B) Pass the catheter through to the carina
C) Suction during insertion of the catheter
D) Hyperinflate and/or hyperoxygenate before suctioning

Correct Answer

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A nurse notes an excessive air leak of the endotracheal (ET) cuff when auscultating.What should the nurse do to address this problem?


A) Deflate the cuff
B) Reposition the patient
C) Insert a new ET tube
D) Apply clamps to the tubing

Correct Answer

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After suctioning a patient,a nurse notes the return of bloody secretions.What should the nurse do next?


A) Increase the suction pressure
B) Provide additional oxygen
C) Reduce the frequency of oral hygiene
D) Check the suction catheter for nicks

Correct Answer

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A patient's tracheostomy tube is extubated accidentally.What should the nurse do immediately?


A) Call the physician
B) Mechanically ventilate the patient
C) Insert a new tube
D) Hold the stoma open with the fingertips

Correct Answer

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