ATI- Airway Management

13 October 2022
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8 test answers

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question
a nurse is caring for a pt who sustained trauma to his head and neck and will require long-term airway support. wotf devices will be required for home health care for this pt? a- nasopharyngeal airway b- oropharyngeal airway c- endotracheal tube d- tracheostomy tube
answer
D- tracheostomy tube tracheostomy tubes are used for long-term airway support. They are suitable devices for long-term management of airway obstruction.
question
a nurse is suctioning a pt's airway using in-line suctioning. when using this method, it is appropriate for the nurse to a-hyperoxygenate the pt before disconnecting the ventilator b- apply suction pressure while advancing the catheter c-wear a face shield during the procedure d-reuse the catheter repeatedly
answer
D- reuse the catheter repeatedly With in-line suctioning, the catheter attaches to the ventilator tubing and does not have to be replaced. It can be used repeatedly.
question
a nurse is caring for a pt who has a tracheostomy tube with an inner cannula in place. wotf supplies should the nurse use to dry the inner canula of the pt's tracheostomy tube after cleaning it? a-paper towels b-cotton-tipped applicators c-folded pipe cleaners d-facial tissue
answer
c- folded pipe cleaners Pipe cleaners remain intact w/o leaving any particulate matter the pt could aspirate.
question
a nurse is caring for a pt who has a cuffed endotracheal tube in place. wotf is an appropriate component of ET tube care for this pt? a- repositioning the ET tube in the pt's mouth Q8hrs b-providing oral and nasal care Q12hrs c- applying the securing tape over the pt's ears d- maintaining a cuff pressure of 30mm HG
answer
a- repositioning the ET tube in the pt's mouth Q8hrs Moving the ET tube to the other side of the pt's mouth Q8hrs helps prevent irritation to the oral mucous membranes.
question
A nurse is preparing to suction secretions from the mouth of a pt who has dysphagia. Which of the following is appropriate suction device or method for the nurse to use? a) in line suctioning b) Yankauer catheter c) bulb syringe d) open suctioning
answer
b- yankauer catheter A Yankauer suction catheter helps clear secretions from the mouth.This is the appropriate device to use for pt's who can cough effectively but cannot swallow or expectorate secretions.
question
During trach care, which of the following should the nurse place underneath the flanges of the outer cannula? a) commercially prepared transparent dressing b) cotton filled gauze squares c) commercially prepared fenestrated dressing d) twill tape
answer
c) commercially prepared fenestrated dressing A commercially prepared tracheostomy dressing is made of material that does not unravel and has a fenestration (slit) designed to fit around the tracheostomy tube under the flanges.
question
A nurse is performing chest physiotherapy for a patient who needs help mobilizing and expectorating thick pulmonary secretions. To increase the turbulence of the air the patient exhales, the nurse should use which of the following techniques? a. vibration b. percussion c. nebulization d. postural drainage
answer
A- vibration Vibration is used during or after percussion to increase the turbulence of exhaled air and loosen secretions.
question
A nurse is preparing to perform endotracheal tube care and plans to use tape to secure the tube. Which of the following is an appropriate preparatory action for this procedure? a. cut a piece of tape that reaches posterioly from naris to naris b. have a tincture of benzoin ready to apply to the patient's face c. prepare an astringent solution for cleaning the patient's face d. open a package of sterile gloves so they are ready to use
answer
b. have a tincture of benzoin ready to apply to the patient's face Tincture of benzoin or a liquid adhesive not only protects the pt's skin, but it also prepares the skin around the nose or mouth and on the face for better adherence of the tape.