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.

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Correct Answer is B

Explanation

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.

A. Nasal cannula. B. Simple face mask. C. Venturi mask. D. Non-rebreather mask.

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.

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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

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

Correct Answer is B

Explanation

(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

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