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 B

Explanation

A) Sternum. Percussion over the sternum is ineffective and may cause discomfort.
B) Thorax. Percussion on the thorax helps loosen mucus in the underlying lung fields.
C) Midaxillary line on the rib cage. This area is not typically targeted for percussion.
D) Spine between the scapulae. Percussion on the spine is not advisable due to the potential for discomfort and ineffectiveness. The area between the scapulae is also less effective for loosening mucus compared to the thorax.

A. directly over the umbilicus B. directly over the sternum C. between the umbilicus and the symphysis pubis D. halfway between the xiphoid process and the umbilicus

Correct Answer is D

Explanation

A. Directly over the umbilicus: This position is too low and would not generate effective pressure on the diaphragm.
B. Directly over the sternum: Applying pressure here risks injury to the chest cavity without effectively relieving airway obstruction.
C. Between the umbilicus and the symphysis pubis: This position is too low and ineffective for compressing the diaphragm.
D. Halfway between the xiphoid process and the umbilicus: This is the correct hand placement for the Heimlich maneuver to produce effective inward and upward pressure, dislodging the obstruction.

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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

The nurse loosens mucus plugs by using percussion on a patient over the area of the:

Correct Answer is B

Explanation

The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

Correct Answer is D

Explanation

A patient requires a precise concentration of 40% oxygen. Which of the following devices would best allow for this?

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

A patient who will begin oxygen therapy has a history of sinus disorders. This patient would benefit most from which oxygen setup?

A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

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

A nurse is preparing to suction the airway of a client who has a tracheostomy. Identify the sequence of actions the nurse should take after performing hand hygiene. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

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?

A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)