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?

Monitor the patient's respiratory rate, depth, rhythm, and effort.

Educate the patient on how to use and care for the tracheostomy collar.

Implement safety measures to prevent fire hazards from the oxygen source.

All of the above.

Answer and Explanation

The Correct Answer is D

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

Choice A: Nasal cannula is a low-flow oxygen delivery system. It delivers a variable oxygen concentration depending on the patient's breathing pattern.

Choice B: Simple face mask is also a low-flow oxygen delivery system. It provides a variable oxygen concentration based on the patient's respiratory rate and tidal volume.

Choice C: Venturi mask is not a low-flow system. It is a high-flow oxygen delivery device that provides a fixed oxygen concentration by mixing oxygen with room air.

Choice D: Non-rebreather mask is considered a low-flow oxygen delivery system. It provides a high concentration of oxygen but does not ensure a precise oxygen concentration due to varying patient ventilation.

A. It delivers the highest concentration of oxygen among low-flow systems. B. It prevents the patient from rebreathing exhaled air. C. It provides consistent and precise oxygen delivery. D. It allows room air to enter through exhalation ports. E. It minimizes the risk of carbon dioxide retention.

Correct Answer is ["A","B","E"]

Explanation

The correct answer is choice a, b, and e.

Choice A rationale:

A non-rebreather mask is designed to deliver a high concentration of oxygen, often deemed the highest among low-flow systems. It achieves this through a reservoir bag that is filled with pure oxygen, which the patient breathes in without the dilution of room air.

Choice B rationale:

This mask has one-way valves that prevent the patient from rebreathing exhaled carbon dioxide. The exhaled air exits through side ports, ensuring that only oxygen from the reservoir is inhaled.

Choice C rationale:

While a non-rebreather mask delivers a high concentration of oxygen, it does not provide a consistent and precise oxygen delivery compared to devices like a Venturi mask, which are designed to deliver a specific and constant oxygen concentration.

Choice D rationale:

The design of a non-rebreather mask does not allow room air to enter through the exhalation ports. The one-way valves are there to ensure that exhaled air does not enter the reservoir bag and that room air does not mix with the oxygen being inhaled.

Choice E rationale:

By delivering a high concentration of oxygen and preventing the rebreathing of exhaled gases, a non-rebreather mask minimizes the risk of carbon dioxide retention, which can be a concern with other oxygen delivery systems that allow for the rebreathing of a portion of exhaled air.

In summary, the non-rebreather mask is advantageous for its ability to deliver a high concentration of oxygen and prevent the rebreathing of exhaled air, which also minimizes the risk of carbon dioxide retention. It is not designed for precise oxygen delivery, nor does it allow the mixing of room air during inhalation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(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?

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a patient who is receiving oxygen therapy via non-rebreather mask at 15 L/min. The nurse should recognize that this device has which of the following advantages?(Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

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?

A nurse is teaching a client who is going home on continuous liquid oxygen therapy. The client asks the nurse, "How do I know when to refill the oxygen tank?”. Which of the following responses should the nurse give?

A nurse is caring for a client who has been receiving oxygen via simple face mask for 6 hours. Which of the following assessment findings indicates that oxygen therapy has been effective?

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

A nurse is caring for a patient who requires oxygen therapy due to hypoxia. What is the goal of oxygen therapy for this patient?

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?

A nurse is teaching a patient who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include? (Select all that apply.).

(Select all that apply): A client with a tracheostomy is being weaned from mechanical ventilation. Which of the following oxygen delivery devices can be used for this client?