The nurse recognizes that a postoperative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefitted by a(n)

endotracheal tube

partial rebreather oxygen mask

tracheostomy

pharyngeal airway

Answer and Explanation

The Correct Answer is D

A) Endotracheal tube. An endotracheal tube is invasive and used for patients who require mechanical ventilation, not for simple airway maintenance.
B) Partial rebreather oxygen mask. A partial rebreather mask is used to deliver oxygen, not to maintain airway patency.
C) Tracheostomy. A tracheostomy is a surgical procedure for long-term airway management and is unnecessary in this scenario.
D) Pharyngeal airway. A pharyngeal airway helps maintain airway patency by preventing the tongue from obstructing the airway.

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Correct Answer is D

Explanation

A. Loop the client's tubes carefully to prevent kinking: Tubes should not be unnecessarily looped, as this may cause obstruction or tension.
B. Clamp the tube when the client is ambulating: Clamping increases the risk of tension pneumothorax and should be avoided unless prescribed for specific procedures.
C. Place the client flat to avoid leaks in the tubing: This position may compromise lung expansion; semi-Fowler’s or Fowler’s position is preferred.
D. Keep the collection device below the client’s chest level: This position uses gravity to prevent backflow of fluid or air into the pleural space.

A. Bradypnea B. Pallor C. Cyanosis D. Bradycardia

Correct Answer is C

Explanation

A. Bradypnea: Hypoxia typically leads to tachypnea as the body attempts to increase oxygen intake.
B. Pallor: While it can be a sign of poor perfusion, cyanosis is more closely associated with hypoxia.
C. Cyanosis: A late sign of severe hypoxia, indicating a lack of oxygen in the tissues.
D. Bradycardia: Hypoxia usually stimulates tachycardia as the body tries to compensate.

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The nurse recognizes that a postoperative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefitted by a(n)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has a newly inserted chest tube. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:

The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:

A nurse is nasopharyngeal suctioning an adult patient to remove thick secretions. The nurse will:

The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:

A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal with client inspiration?

A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

Older adults are more prone to respiratory problems because aging causes which change?

A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?