A client with a tracheostomy is receiving oxygen through a tracheostomy collar. What is the advantage of using a tracheostomy collar for oxygen delivery?

Provides direct oxygen delivery to the trachea.

Allows the patient to breathe room air when disconnected from the oxygen source.

Provides the highest fraction of inspired oxygen (FiO2) among low-flow systems.

Delivers a fixed amount of oxygen independent of the patient's breathing pattern.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Although a tracheostomy collar provides oxygen directly to the trachea, the advantage specified in the question is related to the ability to breathe room air when disconnected from the oxygen source.

Choice B rationale:

This is the correct answer because a tracheostomy collar has an opening that allows the patient to breathe room air when the oxygen source is disconnected. This feature enables the patient to participate in activities without continuous oxygen delivery, promoting mobility and reducing the feeling of being tethered to an oxygen supply.

Choice C rationale:

A tracheostomy collar does not provide the highest fraction of inspired oxygen (FiO2) among low-flow systems. High-flow systems, such as non-rebreather masks or venturi masks, typically provide the highest FiO2.

Choice D rationale:

A tracheostomy collar does not deliver a fixed amount of oxygen independent of the patient's breathing pattern. Instead, it provides supplemental oxygen in response to the patient's inspiratory effort, which is a characteristic of low-flow oxygen delivery systems.

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Correct Answer is A

Explanation

A humidifier.

Choice A rationale:

A humidifier is necessary to prevent complications in a patient receiving oxygen therapy via a tracheostomy collar. Oxygen delivered through a tracheostomy can dry out the airways and cause discomfort and potential complications. Adding humidity helps maintain airway moisture and prevents drying of the mucous membranes, reducing the risk of mucus plugs and irritation.

Choice B rationale:

A water seal is not necessary for a patient receiving oxygen therapy via a tracheostomy collar. Water seals are used in chest drainage systems to prevent air from entering the pleural space, but they are not relevant in this scenario.

Choice C rationale:

A suction catheter is used to clear secretions from the airway but is not directly related to preventing complications with oxygen therapy via a tracheostomy collar.

Choice D rationale:

A chest tube is not needed for a patient receiving oxygen therapy via a tracheostomy collar. Chest tubes are inserted to drain fluid or air from the pleural space, which is not applicable to this situation.

A. Monitor the patient's respiratory rate, depth, rhythm, and effort. B. Educate the patient on how to use and care for the tracheostomy collar. C. Implement safety measures to prevent fire hazards from the oxygen source. D. All of the above.

Correct Answer is D

Explanation

Choice A rationale:

Monitoring the patient's respiratory rate, depth, rhythm, and effort is crucial for assessing the effectiveness of oxygen therapy and ensuring proper oxygenation through the tracheostomy collar.

Choice B rationale:

Educating the patient on how to use and care for the tracheostomy collar is essential to ensure the patient's safety and compliance with the therapy.

Choice C rationale:

Implementing safety measures to prevent fire hazards from the oxygen source is crucial, especially when oxygen is delivered via tracheostomy collar, which may have increased oxygen flow rates.

Choice D rationale:

This is the correct choice. All the provided interventions (monitoring respiratory parameters, patient education, and safety measures) are essential components of the plan of care for a patient with a tracheostomy who requires oxygen therapy.

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A client with a tracheostomy is receiving oxygen through a tracheostomy collar. What is the advantage of using a tracheostomy collar for oxygen delivery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has a tracheostomy and is receiving oxygen therapy via tracheostomy collar at 40% FiO2. The nurse should ensure that which of the following is in place to prevent complications?

Correct Answer is A

Explanation

A nurse is planning care for a patient who has a tracheostomy and requires oxygen therapy via tracheostomy collar. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is D

Explanation

A nurse is planning care for a patient who has a tracheostomy and requires oxygen therapy via tracheostomy collar. Which of the following interventions should the nurse include in the plan of care?

A nurse is assessing a patient who is receiving oxygen therapy via venturi mask. The nurse hears a hissing sound from the mask and observes that the patient's skin color is pale. What should the nurse say to the patient?

What is the most appropriate oxygen delivery device for a client with thick secretions, dry mucous membranes, or upper airway edema?

(Select all that apply): A nurse is educating a group of patients about different oxygen delivery devices. Which of the following are examples of low-flow oxygen delivery systems?

A nurse is caring for a patient who is receiving oxygen therapy via nasal cannula. The nurse notices that the patient's nares are dry and irritated. What should the nurse do first?

A nurse is caring for a patient who is receiving oxygen therapy via partial rebreather mask at 10 L/min. The nurse should instruct the patient to do which of the following to ensure effective oxygen delivery?

A nurse is caring for a client who is dyspneic and slightly cyanotic, with a respiratory rate of 28/min. The nurse determines that the client has impaired gas exchange during which of the following phases of the nursing process?

(Select all that apply) A nurse is preparing to administer oxygen therapy to a client who has COPD and requires a precise concentration of oxygen. Which of the following devices should the nurse use for this client?