A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:

examining the character of the sputum

monitoring the rate of respirations.

auscultating the breath sounds

determining the last time the patient was suctioned

Answer and Explanation

The Correct Answer is C

A. Examining the character of the sputum: While monitoring secretions is important, it does not necessarily indicate the need for immediate suctioning.
B. Monitoring the rate of respirations: An increased respiratory rate can indicate distress but is not a definitive cue for suctioning.
C. Auscultating the breath sounds: This helps identify the presence of secretions or airway obstruction and is a primary indicator for suctioning.
D. Determining the last time the patient was suctioned: Suctioning should be based on clinical need rather than a routine schedule.

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Correct Answer is C

Explanation

A. Take a good nap: While rest is important, shallow breathing and irritability may indicate inadequate ventilation, which won't improve solely with sleep.
B. Turn, cough, and deep breathe: This helps open the airways, promotes alveolar expansion, and clears secretions, which may improve oxygenation and reduce restlessness.
C. Submit to a back rub: Although comforting, it does not directly address shallow breathing or improve oxygenation.
D. Take some pain medication: Pain control can be essential, but this action is premature without assessing whether pain is the cause of shallow breathing.

A. apply suction while advancing the catheter into the airway B. insert the non lubricated catheter into the nasal passage. C. Osuction the nasotracheal passage after suctioning the mouth D. hold the catheter with the dominant hand after donning sterile gloves

Correct Answer is D

Explanation

A. Apply suction while advancing the catheter into the airway: This increases the risk of tissue trauma and should be avoided. Suction should only be applied during withdrawal.
B. Insert the non-lubricated catheter into the nasal passage: Lubrication is necessary to prevent nasal tissue trauma and facilitate smoother insertion.
C. Suction the nasotracheal passage after suctioning the mouth: Suctioning the mouth first introduces contamination into the sterile airway, increasing the risk of infection.
D. Hold the catheter with the dominant hand after donning sterile gloves: This technique maintains sterility and prevents contamination of the catheter during the procedure.

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A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him:

Correct Answer is C

Explanation

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:

Correct Answer is D

Explanation

The nurse is aware that changes occur in the respiratory system after the age of 70 that put the older adult more at risk for respiratory problems. These changes include: (Select all that apply.)

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The nurse performing tracheostomy care will:

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