Nursing management of patients with tracheostomies includes collaboration with other healthcare team members. Match the Health care team member with the correct collaborative task.

Collaborate With Speech Therapist to assess swallowing ability

Collaborate With Physical Therapist to develop a plan for active range of motion and early mobility.

Collaborate With the Respiratory Therapist to provide tracheostomy care

Collaborate With the Dietitian to recommend a diet to promote nutrition

Answer and Explanation

Correct Answer : A,B,C,D

Choice A reason: Speech therapists assess swallowing in tracheostomy patients, as the tube alters airway dynamics. Collaboration ensures safe oral intake, preventing aspiration, a critical task aligning with their expertise in dysphagia management.

Choice B reason: Physical therapists plan mobility in tracheostomy care, enhancing strength and preventing atrophy. Collaboration promotes early activity, improving respiratory muscle function and recovery, tailored to the patient’s physical capacity.

Choice C reason: Respiratory therapists provide tracheostomy care, like suctioning and cuff management, maintaining airway patency. Collaboration ensures proper technique, reducing infection or obstruction risks, a core responsibility in respiratory support.

Choice D reason: Dietitians recommend nutrition plans for tracheostomy patients, addressing caloric and swallowing needs. Collaboration optimizes healing and energy, adjusting diets (e.g., thickened liquids) to support recovery and prevent complications.

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

Explanation

Choice A reason: Pulmonary edema involves fluid in alveoli, often from heart failure, not directly linked to pancytopenia. Low blood cell counts don’t cause fluid overload; this complication arises from cardiac or renal dysfunction, making it less relevant to pancytopenia’s hematologic deficits.

Choice B reason: Bleeding risk increases with pancytopenia due to thrombocytopenia, reducing platelet counts below 150,000/µL. Impaired clotting leads to spontaneous hemorrhage, such as petechiae or mucosal bleeding, a direct and common consequence of bone marrow suppression in this condition.

Choice C reason: Neurogenic shock results from spinal injury or autonomic dysfunction, causing vasodilation and hypotension. Pancytopenia affects blood cells, not neural regulation, so this complication isn’t a primary risk unless unrelated trauma or systemic failure occurs.

Choice D reason: Infection risk rises with pancytopenia from leukopenia, lowering white blood cells below 4,000/µL. Neutropenia impairs immune defense, increasing susceptibility to bacterial, fungal, or viral infections, a frequent and severe complication requiring vigilant monitoring in these patients.

Choice E reason: Seizures stem from neurologic or metabolic disturbances, like hypoglycemia, not pancytopenia. Reduced blood cells don’t directly affect brain excitability or seizure threshold, making this an unlikely complication unless secondary to infection or bleeding.

A. I get short of breath when I climb a lot of stairs. B. My fingers hurt when I go outside in cold weather. C. My legs cramp when I walk more than a block. D. When I stand too long, my feet start to swell.

Correct Answer is C

Explanation

Choice A reason: Shortness of breath on stairs suggests cardiopulmonary issues, not intermittent claudication. Claudication is leg pain from arterial insufficiency during activity, not dyspnea, which reflects lung or heart strain.

Choice B reason: Finger pain in cold weather points to Raynaud’s or vasospasm, not claudication. Intermittent claudication affects lower limbs from arterial occlusion, not upper extremities or temperature-related vasomotor changes.

Choice C reason: Leg cramping after walking a block is classic intermittent claudication, from reduced blood flow in peripheral artery disease. Pain with activity, relieved by rest, matches its ischemic pathophysiology perfectly.

Choice D reason: Foot swelling from standing suggests venous stasis or edema, not claudication. Claudication involves arterial insufficiency causing pain with exertion, not fluid accumulation from prolonged static posture.

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Nursing management of patients with tracheostomies includes collaboration with other healthcare team members. Match the Health care team member with the correct collaborative task.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which potential complication would the nurse identify as a high risk for a patient admitted to the hospital with pancytopenia? (Select all that apply)

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

Explanation

Which patient statement supports a history of intermittent claudication?

Correct Answer is C

Explanation

Propranolol (Inderal) is newly prescribed for a patient diagnosed with hypertension. Which information in the patient’s history would prompt the nurse to consult with the health care provider before giving this drug?

When teaching the patient about preventing further episodes of pneumonia, the nurse should include which 5 topics?

Sara is receiving a nebulized albuterol treatment for her asthma exacerbation. Which of the following should be the nurse’s first priority after administering the treatment?

Based on the patient’s medication list, which of the following medications directly treat hypertension? (Select all that apply)

The nurse is reviewing the patient’s history and recent lab results. Which of the following findings indicate an increased risk for cardiovascular complications? (Select all that apply)

Complete the following sentence: Given the patient’s elevated blood pressure and inconsistent medication adherence, the nurse should prioritize (intervention) to help improve blood pressure control and patient outcome

Which intervention for VTE care and prevention can the RN delegate to the nursing assistant?

A 65-year-old patient with a history of Peripheral Artery Disease (PAD) presents to the clinic with complaints of intermittent claudication in the right leg. Which of the following management strategies should the nurse prioritize to improve the patient’s condition?