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Exam 25: Airway Management

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Question 1

Multiple Choice

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The nurse is caring for a patient who has a tracheostomy.To prevent the patient from developing an airway obstruction,the nurse assesses which of the following? (Select all that apply. )

A) Patient's nutritional status
B) Environmental humidity
C) Existing respiratory infection
D) Patient's ability to cough

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Question 2

Multiple Choice

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The student nurse is preparing to perform nasotracheal suctioning on an adult patient wearing a face mask.Which action by the student should the nursing instructor question?

A) Increasing the oxygen flow rate for the face mask and asking the patient to deep-breathe slowly before suctioning
B) Inserting the catheter into the nares slanting slightly downward
C) Asking the patient to swallow while the catheter is being inserted
D) Inserting the catheter about 8 inches without applying suction

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Question 3

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A patient with increased secretions may develop airway obstruction.The nurse can promote a patent airway by using which of the following techniques? (Select all that apply. )

The nurse is providing care to a patient with a tracheostomy tube that has an inner cannula.Which intervention by the nurse follows proper procedure for tracheostomy tube care?

A patient with a tracheostomy tube has thick,tenacious mucus that is difficult to remove.The nurse should choose which technique to suction the airway?

The nurse is assessing a patient with an endotracheal tube on mechanical ventilation.Which assessment finding indicates a partially deflated cuff?

A patient has been on mechanical ventilation with an endotracheal tube for 1 week.Which intervention by the nurse will help prevent ventilator-associated pneumonia (VAP) ?

The nurse is caring for a patient with an oral endotracheal tube in place.Which intervention by the nurse demonstrates proper procedure when providing endotracheal tube care?

A patient with head trauma following a motor vehicle accident is on mechanical ventilation with an endotracheal tube.Which action by the nurse will reduce the risk for elevations in intracranial pressure during suctioning?

The nurse is performing nasotracheal suctioning for a patient.Which action by the nurse is appropriate?

The nurse is assessing a patient who is intubated and on a ventilator.When listening above the sternal notch with a stethoscope,the nurse notes a minimal amount of air leak at the end of inspiration.Which action by the nurse is appropriate?

A patient with a tracheostomy tube is accidentally extubated.What should the nurse do immediately?

The nurse performing nasotracheal suctioning should be assessing the patient for which possible unexpected outcomes? (Select all that apply. )

The nurse is assessing the risk for aspiration of gastric contents into the lungs resulting in airway obstruction.The nurse identifies patients with which conditions as having increased risk? (Select all that apply. )

The nurse is providing nasotracheal suctioning for a 13-year-old patient with secretions in the throat and trachea.Which action by the nurse demonstrates proper technique?

The nurse has completed suctioning a patient's airway.Which action should the nurse take first?

The student nurse is providing tracheostomy care to a patient who has intratracheal secretions and a damp tracheostomy dressing and ties.Which action by the student should the nursing instructor question?

The nurse is suctioning a patient with an endotracheal tube.Which action should the nurse take when the patient develops respiratory distress?

A patient using a nasal cannula has gurgling on inspiration.The nurse notes a productive cough but the inability to clear the secretions from the mouth.Which action should the nurse take first to prepare for oropharyngeal suctioning?

The nurse is providing care to a patient on mechanical ventilation with an endotracheal tube.The nurse carefully inflates the cuff of the endotracheal tube using the minimal leak method,knowing that a properly inflated cuff provides which benefits to the patient? (Select all that apply. )