A patient may go home with a tracheostomy tube. Prior to discharge, the patient and the patient's family should be taught all of the following routine tracheostomy tube care measures except which of the following:
What drainage to expect from the tracheostomy and when to notify the health care provider
How to recognize signs and symptoms of hypoxia and how to prevent it
How to remove the tracheostomy tube
How to suction the tracheostomy tube
The Correct Answer is C
Rationale:
A. Teaching the patient and family what type of drainage is expected and when to report abnormal findings is essential for early detection of infection or complications.
B. Recognizing and preventing hypoxia is critical for patient safety and effective tracheostomy care.
C. Families should not be taught to remove the tracheostomy tube unless under emergency provider-directed circumstances. Removal is not part of routine home care and could compromise the airway.
D. Suctioning is a vital skill that caregivers must learn to maintain airway patency and prevent obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Intravascular to interstitial describes fluid movement between two components of the extracellular space, not the effect of hypertonic solutions.
B. Extracellular to intracellular is the opposite effect, which occurs with hypotonic solutions.
C. A hypertonic solution draws water out of the cells (intracellular space) into the extracellular space, including the intravascular compartment, to restore fluid balance.
D. Intravascular to intracellular is also the opposite of what happens with hypertonic fluids.
Correct Answer is D
Explanation
Rationale:
A. The infusion should be stopped before withdrawing the catheter to prevent blood leakage.
B. Sterile gloves and a mask are not required; clean gloves are sufficient for IV removal.
C. Pressure should be applied for 2–3 minutes (longer if the patient is on anticoagulants), not just 30 seconds, to prevent bleeding or hematoma formation.
D. The catheter should be withdrawn quickly and smoothly to minimize discomfort and trauma to the vein.
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